Infeld D, Prior C, Ryan H, O'Day J
St Vincent's Hospital, Fitzroy, Victoria.
Aust N Z J Ophthalmol. 1993 Feb;21(1):23-8. doi: 10.1111/j.1442-9071.1993.tb00125.x.
The results of surgical management by one ophthalmologist of 102 patients with congenital esotropia and 74 patients with acquired esotropia in childhood were analysed. The majority of patients had undergone a monocular recession-resection procedure, with 91% and 93% of patients showing a reduction in the angle, of more than five degrees, following surgery for congenital and acquired esotropia respectively. Unexpectedly, varying the amount of lateral rectus resection from 3 to 6 mm, when combined with a constant 5 mm medial rectus recession, did not produce significantly different amounts of change in the ocular alignment after surgery. Patients with congenital esotropia generally developed a stable postoperative angle later than patients with acquired esotropia. The degree of improvement of ocular alignment with surgery was independent of hypermetropia, presence of preoperative amblyopia or fusion.
分析了一位眼科医生对102例先天性内斜视患儿和74例后天性内斜视患儿进行手术治疗的结果。大多数患者接受了单眼后徙-切除术，先天性和后天性内斜视手术后分别有91%和93%的患者眼位偏斜度减少超过5度。出乎意料的是，当外直肌切除术的量从3毫米改为6毫米并结合固定的5毫米内直肌后徙时，术后眼位的改变量并无显著差异。先天性内斜视患者术后眼位通常比后天性内斜视患者更晚达到稳定状态。手术改善眼位的程度与远视、术前弱视或融合无关。
