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目的探讨先天性外斜视合并下斜肌亢进的早期手术效果。方法通过对38例先天性外斜视患儿眼位的定性和定量检查,得出水平斜视及垂直斜视的度数,根据检查结果设计斜视矫正手术方案。结果先天性外斜视合并下斜肌亢进病人多有代偿头位。本组病人水平斜视15°～45°,合并单眼下斜肌亢进27例,双眼下斜肌亢进11例,全部病人在手术后水平斜视和垂直斜视得到矫正。结论早期手术可使病人尽快获得双眼单视功能,改善和矫正代偿头位。
Objective To explore the effect of early surgery on congenital exotropia with inferior oblique. Methods 38 cases of congenital exotropia in patients with qualitative and quantitative eye examination, draw the level of horizontal strabismus and vertical strabismus, according to the results of the design of strabismus surgery program. The results of congenital exotropia with more patients with hypo-hypo-compensatory head dislocation. This group of patients horizontal strabismus 15 ° ~ 45 °, combined monocular oblique in 27 cases of hyperthyroidism, binocular oblique hyperthyroidism in 11 cases, all patients after surgery, horizontal strabismus and vertical strabismus corrected. Conclusion Early surgery can make patients get binocular vision as soon as possible to improve and correct the compensatory head position.