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目的探讨先天性内斜视的临床特征和手术治疗方法和效果。方法回顾分析2002年1月至2006年12月我院收治的58例先天性内斜视病例的临床资料及治疗结果。手术方法以对称性双眼内直肌后退为主,斜视度较大者同时行一眼外直肌缩短,伴有垂直斜视先行垂直肌肉手术矫正。术后随访时间6～48个月,平均24个月。结果术后治愈率为81.03%,弱视、眼球震颤、垂直斜视及双眼视功能不良是影响术后正位率的主要原因。结论先天性内斜视发病年龄早、斜视度大,应尽早手术,术后长期随访及时处理伴发症状是提高远期正位率的有效方法。
Objective To explore the clinical features and surgical treatment of congenital esotropia and its effects. Methods The clinical data and treatment results of 58 cases of congenital esotropia treated in our hospital from January 2002 to December 2006 were retrospectively analyzed. Surgical approach to the symmetry of bilateral rectus retina, strabismus at the same time a line of lateral rectus shortening, accompanied by vertical strabismus first vertical muscle surgery correction. Postoperative follow-up time 6 to 48 months, an average of 24 months. Results The postoperative cure rate was 81.03%. Amblyopia, nystagmus, vertical strabismus and binocular vision dysfunction were the main causes of postoperative orthophoria. Conclusion The age of onset of congenital esotropia, strabismus, as soon as possible surgery, long-term follow-up and timely treatment of associated symptoms is an effective way to improve the forward position rate.