Nouraeinejad Ali
Department of Clinical Ophthalmology, University College London, London, UK.
Eur J Ophthalmol. 2023 Jul;33(4):NP145-NP146. doi: 10.1177/11206721231165450. Epub 2023 Mar 20.
The management of acute acquired comitant esotropia (AACE) is controversial, and no clear guidelines exist to guide its treatment options. Therefore, the author proposes his idea that treatment options for AACE should be prioritized to achieve optimal outcomes with fewer potential complications for this type of esotropia. In this manner, treatment should be started with less invasive, muscle-sparing procedures while the patient is regularly checked for improvement in esotropia and diplopia. This is also a good scheme because the patient can go through vital neurological and ophthalmological assessments while he/she is spared from invasive interventions in the beginning.
急性后天性共同性内斜视（AACE）的治疗存在争议，目前尚无明确的指南来指导其治疗方案。因此，作者提出了自己的观点，即AACE的治疗方案应优先考虑，以便在这种类型的内斜视中获得最佳效果，并减少潜在并发症。通过这种方式，治疗应从侵入性较小、保留肌肉的手术开始，同时定期检查患者内斜视和复视的改善情况。这也是一个很好的方案，因为患者可以在开始时避免侵入性干预的同时，接受重要的神经学和眼科评估。
