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报告120例屈光性调节性内斜视(RAET)的双眼视觉。经平均随访76年后,36%的RAET患者失去了双眼单视功能。双眼单视功能的丧失与斜视发病年龄,弱视治疗效果及双眼视力参差大小有关。斜视发病年龄到戴镜正位的间隔时间,屈光状况及双眼间屈光参差≥150D的比率与双眼视觉无关。发生眼位回退,合并垂直斜视与原发性下斜肌功能亢进者容易破坏双单眼视功能。提出及时确诊,积极治疗弱视和对已发生眼位回退与合并垂直斜视,原发性下斜肌功能亢进的患者及时手术治疗是提高RAET功能治愈的关键。
Report of 120 cases of refractive accommodative esotropia (RAET) binocular vision. After a mean follow-up of 7.6 years, 36% of RAET patients lost binocular vision. Monocular loss of binocular function and age of onset of strabismus, amblyopia treatment effect and binocular vision variable size. Strabismus age of onset to wear mirror is the time interval, refractive status and binocular anisometropia ≥ 1 50D ratio has nothing to do with binocular vision. Retinal ocular retraction, combined with vertical strabismus and primary inferior oblique muscle hyperthyroidism are easy to destroy double monocular visual function. It is the key to improve the function of RAET that the timely diagnosis and treatment of amblyopia and timely surgical treatment of patients with ocular reversion and combined vertical strabismus and primary inferior oblique muscle function hyperactivity are proposed.