Debeir O A
J Fr Ophtalmol. 1982;5(5):339-45.
Results obtained in 142 cases out of a total of 1.460 patients with non-accommodative strabismus treated and follow-up for 15 years are analyzed. Basic treatment was sensorial, started at a very early stage, supplemented by surgical correction of the mechanical defect. Complete recovery was obtained in 76 p.cent of cases, good vision with a very small angle (2-4 dpt.) microtropia in 17 p.cent, and a residual angle of 8-15 dpt. ni 7 p.cent. Similar results were obtained in small angle and congenital strabismus cases: following orthoptic therapy alone in 25.7 p. cent of patients, and after a single operation in 69.2 p.cent. No case of secondary divergence occurred and results remained stable during the 15 year period due to the fusion lock. It is the only treatment of surgical undercorrections and of the rare recurrences, and probably a causal treatment of spasms. Results suggest that sensorial physiological treatment should be basic treatment; A.R.C. should become as obsolete as excentric fixation amblyopia; this treatment emphasizes the crucial role of the orthoptist who really cures the strabismus. It is the "historical transition" of Jampolsky.
对1460例非调节性斜视患者中的142例进行了15年的治疗和随访，并对结果进行了分析。基本治疗是感官治疗，在极早期开始，辅以机械缺陷的手术矫正。76%的病例完全康复，17%的病例视力良好，伴有非常小的角度（2-4棱镜度）的微小斜视，7%的病例残留角度为8-15棱镜度。小角度和先天性斜视病例也取得了类似的结果：25.7%的患者仅接受视轴矫正训练治疗，69.2%的患者接受单次手术后取得了类似结果。由于融合锁定，在15年期间没有发生继发性外斜视病例，结果保持稳定。这是手术矫正不足和罕见复发的唯一治疗方法，可能是痉挛的病因治疗方法。结果表明，感官生理治疗应作为基本治疗；交替性遮盖疗法应像旁中心注视性弱视一样过时；这种治疗强调了真正治愈斜视的视轴矫正训练师的关键作用。这是扬波尔斯基的“历史性转变”。
