Rowe F J
Department of Orthoptics, University of Liverpool, School of Health Sciences, Faculty of Medicine, Liverpool, United Kingdom.
Strabismus. 2000 Mar;8(1):3-13.
The purpose of this paper is to present the ocular motility status of a group of patients with infantile esotropia who underwent surgery before 2 years of age and were followed for a minimum period of 4 years until discharge from Ophthalmology and Orthoptic review. This retrospective review included 40 children with a diagnosis of infantile esotropia. There were 22 females and 18 males. The children were identified from surgical records between 1987 and 1992. Each child had surgery before the age of 2 years at an average age of 17 months (7 months to 22 months). Many patients (60%) achieved a small-angle (less than 20 prism dioptres), cosmetically acceptable strabismus. Nine patients (22.5%) achieved binocular vision postoperatively, five with microtropia, one with intermittent exotropia and three with bifoveal exophoria. The bifoveal patients did not exhibit high grade stereopsis, which may relate to the time of onset of infantile esotropia when development of cortical stereopsis is critical. Persistent amblyopia postoperatively was significantly associated with a poorer outcome and lack of binocular function.
本文旨在呈现一组2岁前接受手术且至少随访4年直至眼科和斜视弱视科复查出院的婴儿型内斜视患者的眼球运动状态。这项回顾性研究纳入了40例诊断为婴儿型内斜视的儿童。其中女性22例，男性18例。这些儿童是从1987年至1992年的手术记录中筛选出来的。每个儿童在2岁前接受手术，平均年龄为17个月（7个月至22个月）。许多患者（60%）获得了小角度（小于20三棱镜度）、外观可接受的斜视。9例患者（22.5%）术后获得双眼视觉，其中5例为微小斜视，1例为间歇性外斜视，3例为双中心凹外隐斜。双中心凹患者未表现出高级立体视，这可能与婴儿型内斜视发病时间有关，此时皮质立体视的发育至关重要。术后持续性弱视与较差的预后和缺乏双眼功能显著相关。
