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共同性外斜视21例的手术治疗 被引量:13

Surgical treatment of concomitant exotropia in 21 cases
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摘要 目的:探讨共同性外斜视的手术效果。方法:对21例共同性外斜视的手术矫正效果进行分析。结果:手术时<+8△适度过矫10例,术后正位6例,2例>-8△欠矫,2例>+8△过矫(系轻度远视性屈光不正,因有难以耐受的复视而行二次手术);手术时完全正位11例,术后正位6例,5例>-8△欠矫。结论:手术适度过矫,术后欠矫率低,有利于维持术后正位,但有远视性屈光不正者术后需注意调整屈光状态或手术适量。 AIM: To evaluate the effect of surgical treatment of concomitant exotropia. METHODS: The corrected effects of surgery in 21 cas- es with concomitant exotropia were analyzed. RESULTS: Intraoperatively, moderate overcorrections not exceeding +8^Δ occurred in 10 cases: 6 remained well aligned postoperatively, 2 had undercorrections exceeding -8^Δ, and 2 had overcorrections exceeding +8^Δ (with slight error of refraction and were operated again because of unendurable diplopia). Eleven patients were well aligned intraoperatively: 6 remained well aligned after surgery, and 5 had undercorrections exceeding -8^Δ. CONCLUSION: The moderate intraoperative overcorrections show less onset rate of undercorrections after surgery, which is helpful for keeping well aligned after surgery. However, patients with hyperopia need to pay attention to accommodating the refraction condition or the moderate operation.
出处 《国际眼科杂志》 CAS 2005年第4期797-798,共2页 International Eye Science
关键词 共同性外斜视 手术治疗 屈光状态 主斜眼内直肌缩短术 concomitant exotropia surgical treatment extraocular muscles
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