Ing Malcolm R
J Pediatr Ophthalmol Strabismus. 2015 Nov-Dec;52(6):335-8. doi: 10.3928/01913913-20150818-01. Epub 2015 Aug 24.
To report the stability of the functional cure in a chart review of patients with congenital esotropia.
The charts of 31 patients with congenital esotropia, encountered in 2007-2012 with functional cure, were studied. The stability of the cure and duration of follow-up were determined by comparing the first recorded date of cure with the date of the last examination. The mean age of the patients analyzed was 19.5 years.
Two patients decompensated in the subgroup of 24 patients who did not require hyperopic correction and 1 patient decompensated in the subgroup of 7 patients who required hyperopic correction. All patients with decompensation were realigned by secondary surgery. A small subgroup of 4 patients demonstrated gradual improvement of stereoacuity to 60 arc seconds or better.
The functional cure of congenital esotropia is relatively stable in patients within the first 20 years. The secondary use of hyperopic correction and secondary surgery increased this stability.
通过对先天性内斜视患者的病历回顾，报告功能性治愈的稳定性。
研究了2007年至2012年间遇到的31例先天性内斜视且实现功能性治愈患者的病历。通过比较首次记录的治愈日期和最后一次检查日期来确定治愈的稳定性和随访时间。分析的患者平均年龄为19.5岁。
在24例不需要远视矫正的患者亚组中有2例失代偿，在7例需要远视矫正的患者亚组中有1例失代偿。所有失代偿患者均通过二次手术重新调整。一小部分4例患者的立体视锐度逐渐提高到60角秒或更好。
先天性内斜视的功能性治愈在20岁以内的患者中相对稳定。远视矫正的二次应用和二次手术提高了这种稳定性。
