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目的寻找预测共同性斜视术后能否获得双眼单视的方法。设计回顾性病例系列。研究对象38例9～44岁共同性斜视患者。方法对38例共同性斜视患者于斜视矫正手术前、后分别行同视机、随机点立体图、Bagolini条纹镜、Worth 4点试验及后像法这五项各级融合功能检查,比较各项检查结果。主要指标手术前后各项融合功能的变化。结果术后存在融合功能的人数与术前比较明显增多(P均<0.01)。只有后像试验是各类共同性斜视都能够在术前查到融合的方法。术前5项检查融合的方法中,后像试验检出的融合比例最高,占76.32%,术后获得立体视觉占73.68%。术前具有潜在融合比例与术后获得立体视觉者比例比较,差异无统计学意义(X~2=0.70,P=0.791)。结论9岁以上斜视患者术后双眼单视功能可显著改善。后像灯检查可以作为预测术后共同性斜视能否获得双眼单视的方法。(眼科,2007,16:348-350)
Objective To find a way to predict binocular vision after co-operation with strabismus. Design retrospective case series. Thirty-eight patients with common strabismus between the ages of 9 and 44 years were included in this study. Methods Fifty-eight patients with common strabismus underwent orthokeratology, strabismus, Bagolini stripe mirror, Worth 4 point test and posterior method respectively before and after strabismus surgery. result. The main indicators before and after surgery the fusion function changes. Results The number of patients with postoperative fusion function was significantly higher than that before operation (all P <0.01). Only the posteriori test is a method of finding all kinds of syncope before surgery. Among the five methods of preoperative fusion examination, the fusion ratio detected by posterior resection was the highest, accounting for 76.32%, and stereopsis accounted for 73.68%. There was no significant difference between the preoperative fusion rate and the stereoscopic vision after surgery (X ~ 2 = 0.70, P = 0.791). Conclusions The binocular monovision in patients with strabismus over 9 years old can be significantly improved. After-lamp examination can be used as a prediction of postoperative common strabismus can get binocular vision. (Ophthalmology, 2007, 16: 348-350)