van Selm J L
Department of Ophthalmology, University of Cape Town, Red Cross War Memorial Children's Hospital, Cape Town, South Africa.
Graefes Arch Clin Exp Ophthalmol. 1988;226(2):122-5. doi: 10.1007/BF02173298.
Of 286 cases of primary infantile onset esotropia operated upon early, 42 were reviewed after 20 years. Four of them achieved normal bifoveal stereoscopic vision (40" arc) despite the fact that at review after 3-4 years of age none had better stereopsis than 80" arc. Emphasis is laid on three main factors which may influence the result of early surgery and on the eventual attainment of normal binocularity, i.e. pre-operative alternating occlusion, accurate and repetitive muscular surgery, post-operative occlusion until parallelism is achieved in all directions of gaze and meticulous follow-up into the mid-teens.
在286例早期接受手术治疗的原发性婴儿型内斜视病例中，20年后对42例进行了复查。其中4例获得了正常的双眼中央凹立体视觉（40" 弧度），尽管在3 - 4岁复查时，没有一例立体视优于80" 弧度。重点强调了三个可能影响早期手术效果以及最终获得正常双眼视的主要因素，即术前交替遮盖、精确且重复的肌肉手术、术后遮盖直至在所有注视方向均达到平行以及细致的随访至青少年中期。
