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关于婴儿斜视早期治疗的几点看法(作者译)

[Some remarks on the early treatment of infantile squint (author's transl)].

作者信息

Kettesy A

出版信息

Klin Monbl Augenheilkd. 1976 Nov;169(5):543-9.

PMID:1003833
Abstract

It is generally accepted that there is also another factor necessary besides hypermetropia to cause squint. This is called by Quere "facteur tropigene causale", this being fully right, if the conception "tropie" comprises all tropic factors, including orthotropia. This factor is the mechanism of binocular vision, which informs us reliably also in case some abnormalities would occur in the receptor organs. The rule of early treatment that biretinal function is not to be allowed as long as there is squint present, cannot be approved by the author. According to him, the correct causal early treatment cannot be anything else than immediately given spectacles. He describes his method, by which this can be attained in the first and second years of life. The advantages as well as the drawbacks of some other methods (supercorrection, occlusion, penalisation, early and postponed operation) are discussed from the viewpoint of the causality and instantaneous acting.

摘要

人们普遍认为,除远视外,还有另一个导致斜视的必要因素。奎尔称其为“致斜因果因素”,如果“斜视”这一概念包含所有的斜视因素,包括正视,那么这是完全正确的。这个因素就是双眼视觉机制,即使感受器器官出现一些异常情况,它也能可靠地告知我们。作者不同意只要存在斜视就不允许双视网膜功能存在的早期治疗规则。据他所说,正确的因果早期治疗只能是立即佩戴眼镜。他描述了在生命的第一年和第二年实现这一目标的方法。从因果关系和即时作用的角度讨论了其他一些方法(过度矫正、遮盖、抑制、早期和延期手术)的优缺点。

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