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[间歇性外斜视中交叉性视差和非交叉性视差变化的临床观察]

[A clinical observation on variation of crossed disparity and uncrossed disparity in intermittent exotropia].

作者信息

Lu Wei, Wang Jinghui

机构信息

Beijing Tong Ren Ophthalmic Center, Capital University of Medical Sciences, Beijing 100730, China.

出版信息

Zhonghua Yan Ke Za Zhi. 2002 Aug;38(8):462-5.

Abstract

OBJECTIVE

To understand the clinical variety of crossed disparity and uncrossed disparity in intermittent exotropia.

METHODS

Zero disparity stereo-acuity, crossed disparity and uncrossed disparity stereo-acuity of 55 cases with intermittent exotropia were examined with stereogram designed by Yan Shaoming before surgery.

RESULTS

In group 1 consisting of 25 cases, the zero disparity stereo-acuity of normal persons was 48%, the values of crossed disparity and uncrossed disparity stereoacuity were not in the normal range, and the crossed disparity was larger than the uncrossed disparity stereo-acuity (t = 843.5, P < 0.000 1). In group 2 including 26 cases, the zero disparity stereo-acuity of normal person was 30.8%, the value of crossed disparity was abnormal, and the uncrossed disparity was not found. In group 3 consisting of 4 cases, only the abnormal zero disparity stereo-acuity was found. In the 55 cases, there was no coexistence of zero disparity and uncrossed disparity, no existence of only crossed disparity or only uncrossed disparity, and no coexistence of crossed and uncrossed disparity.

CONCLUSIONS

(1) In the cases with intermittent exotropia, the zero disparity stereoacuity, the crossed disparity and uncrossed disparity stereoacuities are abnormal. (2) The sequential damage of stereopsis in intermittent exotropia is uncrossed disparity, crossed disparity and zero disparity. (3) It is proved in the clinic that the binocular temporal retinae correspond to the crossed disparity and the binocular nasal retinae correspond to the uncrossed disparity.

摘要

目的

了解间歇性外斜视中交叉视差和非交叉视差的临床变化。

方法

采用闫少明设计的立体视图对55例间歇性外斜视患者手术前进行零视差立体视锐度、交叉视差和非交叉视差立体视锐度检查。

结果

25例组成的第1组中,正常人零视差立体视锐度为48%,交叉视差和非交叉视差立体视锐度值不在正常范围内,交叉视差大于非交叉视差立体视锐度(t = 843.5,P < 0.000 1)。26例组成的第2组中,正常人零视差立体视锐度为30.8%,交叉视差值异常,未发现非交叉视差。4例组成的第3组中,仅发现零视差立体视锐度异常。55例中,不存在零视差和非交叉视差共存,不存在仅交叉视差或仅非交叉视差,也不存在交叉视差和非交叉视差共存。

结论

(1)间歇性外斜视患者中,零视差立体视锐度、交叉视差和非交叉视差立体视锐度均异常。(2)间歇性外斜视中立体视的顺序损害为非交叉视差、交叉视差和零视差。(3)临床证明双眼颞侧视网膜对应交叉视差,双眼鼻侧视网膜对应非交叉视差。

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