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本文分析了103例45岁以上斜视病例,其主要病因是麻痹性、知觉性、限制性、先天性和白内障术后斜视。中、老年斜视的病因及手术处理与儿童斜视不同,其外斜为54.4%,内斜为25.2%。手术目的是减轻复视和改善美容。术后三棱镜矫治有助于缓解复视。眼前节缺血的危险性和并发的内科疾患是本组斜视中应引起充分注意的问题。有关手术技巧也进行了讨论。
This article analyzes 103 cases of strabismus over the age of 45 cases, the main etiology is paralytic, perceptual, restrictive, congenital and strabismus after cataract surgery. In the elderly, the cause of strabismus and surgical treatment of strabismus and children are different, the external oblique was 54.4%, internal oblique 25.2%. The purpose of surgery is to reduce diplopia and improve the beauty. Prism prism surgery can help relieve diplopia. Anterior segment ischemic risk and concurrent medical conditions in this group should be given full attention strabismus problem. The surgical techniques are also discussed.