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目的:观察接受斜视手术的连续性斜视患者的临床过程和治疗效果。方法:连续性斜视患者(<45岁)分为两组:其中第1组为内斜视患者;第2组为外斜视患者。我们使用棱镜屈光度(PD)来测量患者的偏斜角,对第一次手术后的患者在随访期间(6mo内)进行保守疗法。同时选择随访6mo后偏斜角仍超过15PD的斜视患者进行再次手术。本实验所有参与对象均进行了强制性检查。所有二次手术患者均在全身麻醉下进行,并于术后3,15d;3,6mo进行追踪随访。结果:在整个研究期间有28.8%的患者发展成为连续性斜视。所有斜视患者主视眼(固视眼)的二次手术均在一次手术后6～9mo内进行。经过二次手术干预后,在随访期间两组患者均获得了很好的治疗效果,同时并未出现过矫的趋势。结论:在二次手术过程中我们需谨慎肌肉矫正以避免日后过矫。
Objective: To observe the clinical course and treatment effect of strabismus patients with strabismus. Methods: Patients with continuous strabismus (<45 years) were divided into two groups: group 1 was esotropia; group 2 was exotropia. We used prism power (PD) to measure the patient’s skew angle and conservative treatment of the patient after the first surgery during follow-up (within 6 months). At the same time choose to follow-up 6mo skew angle is still more than 15PD strabismic patients underwent reoperation. All participants in this experiment have conducted a mandatory inspection. All secondary surgery patients under general anesthesia, and at 3,15 d; 3,6mo postoperative follow-up. Results: 28.8% of patients developed continuous strabismus throughout the study. All patients with strabismus eye (fixation eye) of the second surgery were in a surgery after 6 ~ 9mo. After two surgical interventions, both groups of patients achieved good therapeutic effect during the follow-up period. At the same time, they did not appear overcorrected. Conclusion: During the second surgery, we need to be cautious about muscle straightening to avoid overcorrection in the future.