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远距离下对AC/A比率和双眼视轴矫正(“隐斜视”)的手术调整;其对调节性内斜视的影响:21例研究。

Surgical modification of the AC/A ratio and the binocular alignment ("Phoria") at distance; its influence on accommodative esotropia: a study of 21 cases.

作者信息

Semmlow J, Putteman A, Vercher J L, Gauther G, Bérard P V

机构信息

Department of Surgery, Robert Wood Johnson Medical School, Rutgers University, Piscataway, New Jersey 08854-8014, USA.

出版信息

Binocul Vis Strabismus Q. 2000;15(2):121-30.

PMID:10893454
Abstract

PURPOSE

To study these changes in patients and their relation to manifestation of accommodative esotropia and response to surgery.

METHODS

Patient-subjects: 21 patients who had difficulty adjusting to spectacle correction and underwent bilateral medial rectus loop suspension-recession surgery to alleviate their accommodative esotropia. Measurements of AC/A, uncorrected distance phoria, and related parameters were taken before and after surgical intervention was performed and were analyzed using analysis of variance (ANOVA).

RESULTS

Both AC/A ratios and the distance phorias are "statistically significantly" (p< or =0.05), and independently, reduced by this surgical procedure. The manifestation of accommodative esotropia and response to surgery can be fairly accurately predicted from the values of AC/A ratio and distance phoria.

CONCLUSION

Surgical treatment of accommodative esotropia creates well defined, long-lasting reductions in the AC/A ratio and the distance phoria.

摘要

目的

研究这些患者的变化及其与调节性内斜视表现和手术反应的关系。

方法

研究对象:21例难以适应眼镜矫正且接受双侧内直肌套扎后退术以缓解调节性内斜视的患者。在手术干预前后测量AC/A、未矫正远距离隐斜及相关参数,并采用方差分析(ANOVA)进行分析。

结果

AC/A比率和远距离隐斜均“在统计学上有显著意义”(p≤0.05),且该手术可独立降低二者。调节性内斜视的表现和手术反应可根据AC/A比率和远距离隐斜的值较为准确地预测。

结论

调节性内斜视的手术治疗可使AC/A比率和远距离隐斜得到明确且持久的降低。

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引用本文的文献

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The analysis of AC/A ratio in nonrefractive accommodative esotropia treated with bifocal glasses.双焦点眼镜治疗非屈光性调节性内斜视时AC/A比率的分析
Korean J Ophthalmol. 2012 Feb;26(1):39-44. doi: 10.3341/kjo.2012.26.1.39. Epub 2012 Jan 14.
2
The influence of refractive error management on the natural history and treatment outcome of accommodative esotropia (an American Ophthalmological Society thesis).屈光不正管理对调节性内斜视自然病程及治疗结果的影响(美国眼科学会论文)
Trans Am Ophthalmol Soc. 2006;104:303-21.