Kushner B J, Preslan M W, Morton G V
Arch Ophthalmol. 1987 Jun;105(6):815-8. doi: 10.1001/archopht.1987.01060060101042.
We conducted a prospective, randomized, masked comparison of two treatments for the nonaccommodative element in esotropic patients with a high accommodative convergence-accommodation ratio. One group received symmetric medial rectus recessions with posterior fixation sutures; the other received symmetric medial rectus recessions without posterior fixation sutures but augmented according to formula taking into account the near deviation. Previous experience had suggested that our surgical formula based solely on the distance deviation would lead to excessive undercorrections. A higher percentage of the augmented recession group achieved satisfactory alignment and were able to discontinue wearing bifocals postoperatively than the posterior fixation group. The data also showed a trend (though not statistically significant) suggesting that more members of the augmented recession group were able to discontinue wearing spectacles entirely. We concluded that the posterior fixation suture technique is not as effective as the augmented recession technique for the treatment of partly accommodative esotropia with a high accommodative convergence-accommodation ratio.
我们对高调节性集合与调节比率的内斜视患者的非调节因素进行了两种治疗方法的前瞻性、随机、盲法比较。一组接受对称的内直肌后徙并带有后固定缝线；另一组接受对称的内直肌后徙但无后固定缝线，而是根据考虑近距斜视度的公式进行增强处理。以往经验表明，我们仅基于远距斜视度的手术公式会导致过度欠矫。与后固定缝线组相比，增强后徙组中更高比例的患者实现了满意的眼位矫正，并且术后能够停止佩戴双焦点眼镜。数据还显示出一种趋势（尽管无统计学意义），表明增强后徙组中有更多患者能够完全停止佩戴眼镜。我们得出结论，对于治疗具有高调节性集合与调节比率的部分调节性内斜视，后固定缝线技术不如增强后徙技术有效。
