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回顾性总结33例先天性内斜视手术病例。经过平均32年的随访,正位率667%。通过双侧内直肌后徙术,术前斜视角≤55△者,正位率731%;术前斜视角≥60△,正位率143%。末次随访时,双眼视力均≥06者占88%。22例正位者中,13例用Titmus立体视图检查立体视锐≤200″,其中1例为50″。先天性内斜视应早期手术,不仅是为了矫正眼位,在功能上更利于中心视力和双眼单视功能的发育。双侧内直肌后徙4~6是首选术式。
A retrospective review of 33 cases of congenital esotropia surgery cases. After an average of 3 2 years of follow-up, the positive rate of 66 7%. Through the bilateral rectus abdominis migration surgery, preoperative squint angle ≤ 55 △ were, the positive rate was 731%; preoperative oblique angle ≥ 60 △, the positive rate of 14 3%. The last follow-up, binocular visual acuity ≥ 0.6 were 88%. Twenty-two of the 22 patients underwent stereotactic examination with Titmus stereopsis ≤200 “, of which one was 50”. Congenital esotropia should be early surgery, not only to correct the eye position, functionally more conducive to central vision and binocular vision function development. Bilateral rectus muscle reset after 4 to 6 is the preferred surgical approach.