Hutcheson Kelly A
Children's National Medical Center, Washington, DC 20010, USA.
Curr Opin Ophthalmol. 2004 Oct;15(5):444-8. doi: 10.1097/01.icu.0000135505.89223.f6.
To review the most recent studies on childhood esotropia, and to summarize recent changes in treatment approach.
Constant, large-angle esotropia present in the first few months of life may be suitable for early surgery. Earlier surgical intervention, within the first several months of onset, is associated with better sensory outcomes. Similar findings are true for accommodative esotropia; children treated within the first 4 months of constant esotropia have better outcomes. Refractive surgery has been used successfully in adult patients to treat accommodative esotropia.
New developments pertaining to infantile esotropia have helped clarify the pathophysiology of the condition and the best treatment approaches. Abnormal binocular visual input early in life contributes to poor outcomes in both infantile and accommodative esotropia.
回顾关于儿童内斜视的最新研究，并总结治疗方法的近期变化。
出生后头几个月出现的持续性、大角度内斜视可能适合早期手术。在发病后的头几个月内进行早期手术干预，与更好的感觉结果相关。调节性内斜视也有类似发现；在持续性内斜视的前4个月内接受治疗的儿童有更好的结果。屈光手术已成功用于成年患者治疗调节性内斜视。
与婴儿内斜视相关的新进展有助于阐明该病的病理生理学和最佳治疗方法。生命早期异常的双眼视觉输入导致婴儿内斜视和调节性内斜视的不良结果。
