Quere M A, Lavenant F, Pechereau A, Alegue A
J Fr Ophtalmol. 1986;9(3):183-90.
For a long time the problem of the functional recovery in convergent strabismus has been a hardly debated topic. For some authors, it is very rare; for others, on the other hand, the result is frequently achieved. Such disparities seem to be chiefly related to the tests used. The authors have selected 10 binocular tests and they carried out this scale in a prospective study in 100 cases of esotropias having normal moving performances following a medico-surgical management and in 20 normal cases. statistical correlations reveal that there is a very large disparity of "good answers" according to the tests; but there is no redundancy at all between them. Consequently for a relevant check up every single one is necessary. The total of "good scores" and differential values of ten tests allow to know the true state of binocular spatial adaptation. The statistical analysis shows that in secondary microtropias and orthotropias there is almost always an actual binocular spatial adaptation. Its level may be high, medium or low. The high margin is clearly different from the binocular scores in normal cases. Two events are very uncommon: a full recovery of binocular vision and the opposite condition of its complete suppression. The results of such a method give a clear explanation of conflicting opinions about the binocular evolution of convergent squints following medical and surgical management.
长期以来，共同性斜视的功能恢复问题一直是一个备受争议的话题。对于一些作者来说，这种情况非常罕见；而对于另一些作者而言，却经常能取得这样的结果。这种差异似乎主要与所使用的测试方法有关。作者选择了10项双眼视功能测试，并在一项前瞻性研究中，对100例经药物和手术治疗后眼球运动功能正常的内斜视患者以及20例正常对照者进行了该量表测试。统计相关性表明，根据测试方法的不同，“良好结果”存在很大差异；但这些测试之间完全不存在冗余。因此，为了进行全面的检查，每一项测试都是必要的。这10项测试的“良好分数”总和及差值能够反映双眼空间适应的真实状况。统计分析表明，在继发性微小斜视和正位眼中，几乎总是存在实际的双眼空间适应。其程度可能高、中或低。高限明显不同于正常情况下的双眼视功能分数。两种情况非常罕见：双眼视觉完全恢复以及双眼视觉完全被抑制的相反情况。这种方法的结果清楚地解释了对于共同性斜视经药物和手术治疗后的双眼视功能演变存在相互矛盾观点的原因。
