Iacobucci I L, Archer S M, Giles C L
Department of Ophthalmology, University of Michigan, W. K. Kellogg Eye Center, Ann Arbor 48105.
Am J Ophthalmol. 1993 Jul 15;116(1):79-83. doi: 10.1016/s0002-9394(14)71748-9.
A series of seven exotropic children (aged 2 to 10 years) had resolution of exotropia after spectacle correction of hyperopia. Their hyperopic correction ranged from 3.00 to 7.00 diopters. Six had intermittent exotropia, which became small-angle esophoria after spectacle correction. In one patient with apparently no fusion, spectacle correction converted constant exotropia to small esotropia in the monofixational range. In all patients, Worth 4-dot and Titmus Stereo Test results, when obtainable, indicated an improvement in binocular sensory status after correction of the hyperopia. We conclude that a trial of spectacle correction is warranted in exotropic children with severe hyperopia and in those with moderate hyperopia and a low accommodative convergence/accommodation ratio or evidence of hypoaccommodation.
一系列七名外斜视儿童（年龄在2至10岁之间）在远视经眼镜矫正后外斜视得到矫正。他们的远视矫正度数范围为3.00至7.00屈光度。其中六名患有间歇性外斜视，经眼镜矫正后变为小角度内隐斜。在一名明显没有融合功能的患者中，眼镜矫正使恒定性外斜视在单眼注视范围内转变为小角度内斜视。在所有患者中，Worth四点和Titmus立体视觉测试结果（若可获得）表明，远视矫正后双眼感觉状态有所改善。我们得出结论，对于患有严重远视以及中度远视且调节性集合/调节比率较低或有调节不足证据的外斜视儿童，进行眼镜矫正试验是有必要的。
