目的研究内斜术后继发外斜视的相关因素及手术治疗。方法我们对1998-2004年在我院住院的23 例内斜术后继发外斜的病人施行手术治疗并观察疗效,探讨发生原因。结果内斜视的发病年龄,是否合并垂直性眼位偏斜,弱视及调节一集合功能(AC/A)减弱是造成继发性外斜视的重要因素。外斜视矫正的效果与术前斜视角及术中眼位矫正清况相关。结论1.内斜术后应该进行长期的随防。2.外直肌后徙联合后徙的内直肌前移是治疗继发性外斜视的有效方式。3.术中5-10 PD 小度数过矫可提高术后的正位率。 Objective To study the related factors and surgical treatment of esotropia after esotropia. Methods We performed surgical treatment of 23 patients with secondary oblique patients who were admitted to our hospital from 1998 to 2004 and observed their curative effect. Results The age of onset of esotropia, the combination of vertical eye position deviation, amblyopia, and diminished accommodative function (AC / A) were the important factors of secondary exotropia. The effect of exotropia correlates with preoperative oblique angle and intraocular correction. Conclusions 1. Endopia surgery should be carried out long-term follow-up. 2. Rectus muscle reorganization combined with retrograde rectus medialis rectus forward is the treatment of secondary exotropia an effective way. 3. Surgery 5-10 PD small degree of overcorrection can improve postoperative orthostatic rate.