Brown S M
Department of Ophthalmology and Visual Sciences, Texas Tech University Health Sciences Center, Lubbock 79430, USA.
J Cataract Refract Surg. 1999 Mar;25(3):441-3. doi: 10.1016/s0886-3350(99)80096-0.
Anterior segment surgeons may treat patients with long-standing media opacities or uncorrected aphakia who have developed sensory strabismus. These patients are at risk for diplopia after surgery to clear the visual axis and restore emmetropia. This report describes 2 patients who regained comfortable single binocular vision without strabismus surgery. Sensory fusion was restored with Fresnel prisms, which were weaned and ultimately discarded as the patients' motor fusion was re-engaged after decades of disuse. Surgeons who restore vision in an eye with manifest sensory strabismus should be aware of this noninvasive, well-tolerated treatment option. Collaboration with an orthoptist or strabismologist may be helpful.
前段手术医生可能会治疗患有长期介质混浊或未经矫正的无晶状体眼且已出现感觉性斜视的患者。这些患者在进行手术以清除视轴并恢复正视化后有发生复视的风险。本报告描述了2例未进行斜视手术便重新获得舒适双眼单视的患者。通过菲涅尔棱镜恢复了感觉融合，随着患者数十年未使用的运动融合重新恢复，棱镜逐渐停用并最终弃用。在有明显感觉性斜视的眼中恢复视力的外科医生应了解这种无创且耐受性良好的治疗选择。与斜视矫正师或斜视专家合作可能会有所帮助。
