Yahalom Claudia, Mechoulam Hadas, Cohen Evelyne, Anteby Irene
The Center for Pediatric Ophthalmology, Hadassah Medical Center, Jerusalem, Israel.
J AAPOS. 2010 Apr;14(2):117-9. doi: 10.1016/j.jaapos.2010.01.009.
To evaluate postoperative alignment after strabismus surgery in children with Down syndrome.
A retrospective analysis of 15 consecutive cases of children with Down syndrome who underwent surgery for strabismus between 1990 and 2008. Follow-up was at least 6 months (range, 0.5-16 years).
All children underwent surgery for esotropia. The mean preoperative angle of deviation was 37.6Delta. Of the 15 children, 14 underwent surgical procedure for strabismus according to standard surgical tables. Surgical success (within 10Delta of orthophoria) was achieved in 12 of 14 children (85.7%). The remaining 2 children (14.3%) had residual esotropia.
Good surgical motor outcomes were achieved in children with Down syndrome after strabismus surgery following standard surgical tables. The tendency toward overcorrection reported in children with central nervous system disorders was not observed in our study. We suggest use of the same surgical calculations as used in children with normal development when treating children with Down syndrome and esotropia.
评估唐氏综合征患儿斜视手术后的眼位矫正情况。
回顾性分析1990年至2008年间连续15例接受斜视手术的唐氏综合征患儿。随访时间至少6个月（范围0.5 - 16年）。
所有患儿均接受内斜视手术。术前平均斜视度为37.6三棱镜度。15例患儿中，14例根据标准手术表进行斜视手术。14例患儿中有12例（85.7%）手术成功（眼位在正位视10三棱镜度范围内）。其余2例患儿（14.3%）有残余内斜视。
唐氏综合征患儿按照标准手术表进行斜视手术后获得了良好的手术运动效果。本研究未观察到中枢神经系统疾病患儿中报道的过矫倾向。我们建议在治疗唐氏综合征合并内斜视患儿时，采用与正常发育儿童相同的手术计算方法。
