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目的观察调节性内斜视到间歇性外斜视的变化规律。方法收集以内斜为主诉的间歇性外斜视合并调节性内斜视患者5名,回顾其平均10年的长期病历资料,对其屈光及斜视度变化等进行总结。结果所有患者为中度到重度以上远视;内斜均为调节性内斜视,但不用足矫也能达到正位,斜视度不稳定。远视程度逐年下降至轻度远视时,间歇性外斜视表现明显,有增大趋势,1年左右稳定。结论不需要足矫的调节性内斜视患者,且斜视度数不稳定者,合并间歇性外斜视的可能性大;该类患者的外斜视不宜过早手术,否则容易欠矫。
Objective To observe the changes of regulatory esotropia to intermittent exotropia. Methods A total of 5 patients with intermittent exotropia and accommodative esotropia were enrolled in this study. The data of 10 patients with long-term history were retrospectively reviewed. The changes of refractive and strabismus were summarized. Results All patients were moderate to severe hyperopia; esotropia are accommodative esotropia, but can not reach the orthodontic foot correction, strabismus instability. Myopia decreased year by year to mild hyperopia, intermittent exotropia significantly, there is an upward trend, about 1 year stable. Conclusion There is a high possibility of intermittent exotropia in patients with accommodative esotropia who do not need full-fledged accommodative esotropia and exotropia should not be too early in these patients.