Raab E L
J Pediatr Ophthalmol Strabismus. 1985 Mar-Apr;22(2):58-9. doi: 10.3928/0191-3913-19850301-06.
This paper reports nine patients who developed accommodative esotropia following correction of intermittent exotropia. Eight cases originally were esotropic; one was esotropic secondary to previous surgery for nonaccommodative esotropia. All had the pattern of "divergence excess." In seven patients recession of both lateral recti had been performed in conventional amounts; one case had a recession/resection procedure, and one case recession of the lateral recti followed by resection of the medial recti. In all cases the consecutive accommodative esotropia included an abnormally high distance/near relationship. All were controlled by appropriate optical or drug treatment, and six cases deteriorated later. Surgical overcorrection was not a prominent contributing factor. Preoperative occlusion and/or the +3.00 D test would not have predicted the persistence of the high distance/near relationship. There were no other obvious indicators of this complication.
本文报告了9例间歇性外斜视矫正后发生调节性内斜视的患者。8例最初为内斜视；1例因先前非调节性内斜视手术继发内斜视。所有患者均有“分开过强”型。7例患者按常规量进行了双侧外直肌后徙术；1例进行了后徙/切除术，1例先进行外直肌后徙术，随后进行内直肌切除术。在所有病例中，连续性调节性内斜视均包括异常高的远距离/近距离比值。所有患者均通过适当的光学或药物治疗得到控制，6例后来病情恶化。手术过度矫正并非主要促成因素。术前遮盖和/或+3.00 D试验无法预测高远距离/近距离比值的持续存在。没有其他明显的该并发症指标。
