尽管成人共同性外斜临床上比较常见,但总结报告不很多,可参考的最新文献也很少,作者在总结自己经验的基础上提出成人共同性外斜治疗的指导原则。手术方式:外斜的手术方式有两眼外直肌后退及单眼前徙后退术两种。考虑到再手术的问题,作者采用定量容易的单眼等量前徙后退术,这种术式对辐辏不全型外斜和外展过强型外斜都适合。手术眼的选择:对主眼积极地采取手术。手术量的选择:在进行牵引试验时,被动地使眼内转同时确定出现复视的眼位,实际定出手术量。病人最初眼位以看远时交替遮盖三梭镜法测得的结果为准。作者对18岁以上患者 Although adult common outside the clinics more common, but the report is not a lot of summary, can refer to the latest literature is also rare, the author summed up his own experience based on the proposed guidelines for common external oblique treatment. Surgical methods: Outer oblique surgery There are two ways to recumbent outside rectus and one eye retreat before surgery in two. Taking into account the problem of reoperation, the author uses a quantitative easy monocular antegrade retraction before surgery, this technique is not suitable for all types of involute and outreach hyperextension ramp are suitable. The choice of surgical eye: The main eye to take active surgery. The choice of amount of surgery: During the traction test, passively make the eye turn while confirming the presence of diplopia eyesight, the actual amount of surgery. The patient’s initial eye position to see the far alternately covered three shuttle mirror method to measure the results shall prevail. The author of patients over the age of 18