间歇性外斜视106例手术治疗

Surgical treatment for intermittent exotropia: Report of 106 cases

摘要: 目的: 探讨间歇性外斜视手术成功的因素及术后双眼功能恢复情况。方法: 回顾分析106例资料完整的间歇性外斜视手术治疗情况及术后6周至1年视功能恢复情况。结果: 手术后正位率1周84.91%,6周76.42%,1年75.47%。术后双眼视功能恢复情况为年龄愈小双眼视功能恢复愈高(P<0.005)。术前有无融合功能对术后双眼视功能恢复至关重要(P<0.005)。结论: 间歇性外斜视手术时机愈早愈好,年龄愈小,双眼视功能恢复愈好。

Abstract: Objective: To study the factors leading to successful operation for intermittent exotropia and postoperative visual function recovery.Methods: The data of 106 cases of intermittent exotropia who had received operation and followed up for six weeks to one year were analysed.Results: The rates of right position were 84.91%(one week after operation),76.42%(six weeks after operation) and 75.47%(one year after operation).Fusional faculty before operation was essential for the recovery of eyesight function.The younger the patients were,the better the recovery would achieve(P<0.005).Conclusions: Patients with intermittent exotropia should resort to surgical treatment as early as possible.