Kushner B J, Lucchese N J, Morton G V
Department of Ophthalmology, University of Wisconsin Medical School, Madison 53705.
Arch Ophthalmol. 1989 Nov;107(11):1616-8. doi: 10.1001/archopht.1989.01070020694030.
We performed axial length determinations preoperatively on a series of patients undergoing strabismus surgery. A statistically significant inverse correlation was found between axial length and the response (prism diopters per millimeter of medial rectus recession) for esotropic patients. The data suggest that a surgical formula designed to take axial length into account would decrease the variability in response to strabismus surgery in esotropic patients. Poor correlation was found between axial length and response to surgery in exotropic patients. We feel this poor correlation was due, in part, to the postoperative drift rate in exotropic patients as well as inaccuracies with the standard techniques used to determine the basic deviation on which surgery in exotropic patients is based.
我们对一系列接受斜视手术的患者进行了术前眼轴长度测定。结果发现，内斜视患者的眼轴长度与反应（每毫米内直肌后徙的棱镜度）之间存在统计学上显著的负相关。数据表明，一个考虑眼轴长度的手术公式将减少内斜视患者对斜视手术反应的变异性。外斜视患者的眼轴长度与手术反应之间相关性较差。我们认为这种较差的相关性部分归因于外斜视患者的术后漂移率，以及用于确定外斜视患者手术所依据的基本偏差的标准技术的不准确性。
