Huang Shulan, Zhong Xuemei, Quan Chanjuan, Zhang Mingwen
Department of Ophthalmology, Xiaolan People's Hospital of Zhongshan (The Fifth People's Hospital of Zhongshan), Zhongshan, China.
Department of Neurosurgery, Cranial Nerve Group, Xiaolan People's Hospital of Zhongshan (The Fifth People's Hospital of Zhongshan), Zhongshan, China.
Front Med (Lausanne). 2025 Jun 27;12:1582284. doi: 10.3389/fmed.2025.1582284. eCollection 2025.
Pediatric strabismus is a progressive condition that, in the early stages, presents as either esotropia or intermittent or constant exotropia when both eyes focus on the same target. If not promptly addressed, the child's ocular accommodative convergence and fusion abilities will gradually weaken, ultimately affecting visual function and causing various inconveniences in daily life and learning. For children with mild strabismus, those who are young, have poor cooperation, or are awaiting surgery for a long time, non-surgical treatment is a good option. It offers high safety, ease of use, and has certain effects in alleviating strabismus symptoms and improving visual function. However, there are multiple non-surgical treatment options, and currently, clinical practice lacks clear consensus on which approach is best. The choice and implementation of treatment methods still need to be determined based on the specific situation, such as the child's age and type of strabismus. In recent years, with the deepening of ophthalmological research, non-surgical treatment methods have been enriched, including a combination of visual training, occlusion therapy, and corrective glasses, which have shown certain clinical effects. This article will review the non-surgical treatment options for pediatric strabismus, explore current research progress, and discuss future development directions.
小儿斜视是一种渐进性疾病，在早期，当双眼注视同一目标时，表现为内斜视或间歇性或恒定性外斜视。如果不及时治疗，患儿的眼调节性集合和融合能力将逐渐减弱，最终影响视功能，并给日常生活和学习带来各种不便。对于轻度斜视的儿童，年龄较小、配合度差或等待手术时间较长的患儿，非手术治疗是一个不错的选择。它具有安全性高、使用方便的特点，在缓解斜视症状和改善视功能方面有一定效果。然而，非手术治疗方法有多种，目前临床实践对于哪种方法最佳缺乏明确的共识。治疗方法的选择和实施仍需根据具体情况确定，如患儿年龄和斜视类型等。近年来，随着眼科研究的深入，非手术治疗方法不断丰富，包括视觉训练、遮盖疗法和矫正眼镜联合使用等，已显示出一定的临床效果。本文将综述小儿斜视的非手术治疗方法，探讨当前的研究进展，并讨论未来的发展方向。
