成人斜视手术疗效观察
成人斜视,,成人共同性斜视；眼位；视功能,资料与方法,2结果,3讨论,【参考文献】
【摘要】 目的 了解成人共同性斜视矫正术后,眼位及视功能恢复情况。方法 将我院2003～2004年手术矫正大龄共同性斜视114例患者进行分析，其中男58例，女56例。年龄17～54岁，平均24.5岁。共同性内斜视28例，共同性外斜视86例。屈光不正85例，弱视52例。斜视角<50△者27例，≥50△87例。术后早期进行视功能训练7～10次。术后观察1～16个月。结果 眼位矫正满意，正位98例，占85.94%，欠矫15例，外观满意未行二次手术，过矫者1例，配压贴三棱镜矫正。术后经过训练恢复视功能者14例，占12.28%。结论 成人斜视手术主要是美容矫正，视功能很难恢复。故弱视、斜视应早期治疗。有手术指征者应及时手术。【关键词】 成人共同性斜视；眼位；视功能
Surgery of adult concomitant strabismusCHEN Dan,
GONG Shu-xian.Aier Eye Hospital of Wuhan,Wuhan 430063,China
【Abstract】 Objective To acquaint the adult with eye position and the resumptive instance of visual function after the surgery of the concomitant strabismus.Methods There were 114 patients who had accepted the surgery of the concomitant strabismus from 2003 to 2004.58 cases were man while 56 cases were women.The patients age were from 17 to 54 years old,and average 24.5 years old.28 cases were concomitant esotropia while 86 cases were concomitant exotropia.85 cases were ametropia and 52 cases were amblyopia.27 cases angle of strabismus was less than 50°,while 87 cases angle was more than 50°.The training of visual function were 7～10 times after surgery early.All patients had been observed from 1 to 16 months.Results Eye position was satisfactory after surgery.98 cases were orthophoria and occupied 85.94%.15 cases were lack of correction.But the patients satisfied themselves with the Press-Optics.14 cases visual function resumed after the training and occupied 12.28%.Conclusion The main aim of the adults surgery of strabismus is hairdressing,but the resume of visual function is hardly possible.So the patient who has amblyopia or strabismus need the operation earlier and the patient who has operating indication must accept the operation in time. ......
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