Lange W, De Decker W
University Eye Hospital, Department of Orthoptics and Pleoptics, Kiel, Germany.
Doc Ophthalmol. 1993;84(2):187-200. doi: 10.1007/BF01206253.
Several therapeutic concepts are in favour of the treatment of intermittent exotropia. The presented paper will try to answer the question, whether this leads to different results, by the review of the 1989 and 1990 cases of two centres. In the Munich Right Isar Eye Hospital (Centre II) during this period 72 patients (already published data) were treated by recession and resection eye muscle surgery against intermittent exotropia or decompensating exophoria. The 111 compared patients of the Department of Orthoptics and Pleoptics at the University Eye Hospital Kiel (Centre I), were mostly treated with bimedial resection procedures. Another difference: diagnostic occlusion and prism correction were done in the Munich patients. There is major evidence that there are two widely different clinical pictures incorporated in the diagnostic frame of the so-called 'Intermittent Exotropia'. In a third prospective group of patients (10/91-3/92), therefore, the prism-acceptance was evaluated.
有几种治疗理念支持间歇性外斜视的治疗。本文将通过回顾两个中心1989年和1990年的病例，试图回答这是否会导致不同的结果。在此期间，慕尼黑右伊萨尔眼科医院（中心II）对72例患者（已发表的数据）进行了眼肌后徙和切除术，以治疗间歇性外斜视或失代偿性外隐斜。基尔大学眼科医院斜视与双眼视科（中心I）的111例对照患者大多接受了双眼内直肌切除术。另一个不同之处在于：慕尼黑的患者进行了诊断性遮盖和棱镜矫正。有充分证据表明，在所谓的“间歇性外斜视”诊断框架中包含两种截然不同的临床症状。因此，在第三组前瞻性患者（1991年10月至1992年3月）中，对棱镜接受度进行了评估。
