Kushner B J, Fisher M R, Lucchese N J, Morton G V
Department of Ophthalmology, Pediatric Eye Clinic, Madison, WI 53705-3136.
Arch Ophthalmol. 1993 Jan;111(1):75-9. doi: 10.1001/archopht.1993.01090010079030.
Based on analyses in a series of 116 patients, we found that the response to strabismus surgery (degrees of change of ocular alignment per millimeter of rectus recession) correlated significantly with the preoperative deviation for esotropic and exotropic patients. The prediction of response to strabismus surgery was not improved significantly with the inclusion of axial length, age, and/or preoperative refractive error beyond the prediction provided with use of only the preoperative deviation, even though we have previously suggested that the response to strabismus surgery should be related to axial length. We believed that larger eyes should have a smaller response for the same number of millimeters of surgery than smaller eyes. We now believe that although the response to strabismus surgery does correlate significantly and inversely with axial length, this correlation may not be clinically important given the much stronger influence of preoperative deviation.
基于对116例患者的系列分析，我们发现，内斜视和外斜视患者的斜视手术反应（每毫米直肌后徙的眼位矫正度数）与术前斜视度显著相关。即便我们之前曾提出斜视手术反应应与眼轴长度有关，但在仅使用术前斜视度进行预测之外，加入眼轴长度、年龄和/或术前屈光不正后，斜视手术反应的预测并未得到显著改善。我们曾认为，相同手术毫米数下，较大的眼睛相比小眼睛的反应应该更小。我们现在认为，虽然斜视手术反应确实与眼轴长度显著负相关，但鉴于术前斜视度的影响更强，这种相关性在临床上可能并不重要。
