论文部分内容阅读
目的:探讨先天性上斜肌麻痹患者手术后双眼视功能变化。方法:先天性上斜肌麻痹患者28例手术前、后分别行斜视度和双眼视功能检查,统计分析其变化。结果:术后正位率89.3%。手术后有同时视、融合和立体视的患者分别增加9,13和13例,与术前相比差异具有显著性(P<0.05)。近立体视觉有明显改善。术前斜视度小、视力好且有融合功能的患者术后双眼视功能恢复好。结论:先天性上斜肌麻痹手术治疗在改善眼位的同时,双眼视功能部分得以重建。视功能恢复与视力、斜视度及有无融合功能有关。
Objective: To investigate the changes of binocular visual function in patients with congenital superior oblique paralysis. Methods: Twenty-eight cases of congenital superior oblique paralysis were examined before and after operation, and their changes were analyzed statistically. Results: The postoperative positive rate of 89.3%. After operation, there were 9, 13 and 13 cases of patients with simultaneous visual fusion and stereopsis, respectively. There was significant difference between the two groups (P <0.05). Near stereoscopic vision has been significantly improved. Preoperative strabismus, good visual acuity and fusion function in patients with binocular visual function recovered well. CONCLUSIONS: Congenital superior oblique paralysis surgery can improve the ocular position while reconstructing binocular visual function. Functional recovery and visual acuity, strabismus, and whether the fusion function.