论文部分内容阅读
目的探讨儿童先天性外斜视的临床特点及手术治疗。方法对10例先天性外斜视患者的临床表现及手术治疗进行总结分析。结果随访1年～2.5年,正位者7例,欠矫者2例,回退者1例,欠矫及回退者经二次手术矫正均正位;术前无1例具备双眼单级视功能:术后6例出现Ⅰ级同时视功能,其中3例有Ⅱ级功能,均不具备Ⅲ级视功能。结论先天性外斜视发病早,多数病例外斜角度大且恒定,无双眼单视功能,手术是治疗先天性外斜视的最佳方法,手术越早效果越好。
Objective To investigate the clinical features and surgical treatment of congenital exotropia in children. Methods 10 cases of congenital exotropia in patients with clinical manifestations and surgical treatment were analyzed. Results The follow-up ranged from 1 year to 2.5 years. There were 7 cases of positive position, 2 cases of undercorrection, 1 case of back-off, and 2 cases of under-correction and back-off were corrected by secondary surgery. None of the patients had binocular single stage Visual function: Six cases showed grade Ⅰ at the same time visual function, of which three cases have grade Ⅱ function, do not have Ⅲ grade visual function. Conclusions The incidence of congenital exotropia is early, the majority of cases are large and constant outcrop angle, no binocular vision, surgery is the best method of treatment of congenital exotropia, the better the effect of surgery earlier.