先天性内斜视在6个月龄之前进行手术矫正。
Surgical alignment prior to six months of age for congenital esotropia.
作者信息
Ing M R
机构信息
Department of Surgery, John A. Burns School of Medicine, University of Hawaii, Honolulu, USA.
出版信息
Trans Am Ophthalmol Soc. 1995;93:135-41; discussion 141-6. doi: 10.1016/s0002-9394(14)70552-5.
PURPOSE
To complete the first independent and largest multicenter outcome investigation to analyze the motor and functional results of a series of patients surgically aligned prior to age 6 months and followed for a minimum of 4 years.
METHODS
Sixteen patients, surgically aligned at an average age of 4.2 months, were examined at an average of 7.1 years to assess their motor and functional outcomes.
RESULTS
Motor and sensory tests showed 11 patients to have a small or negligible motor misalignment at near point with both binocular fusion and gross stereopsis ability. A single patient aligned by 3 months of age demonstrated reproducible refined stereoacuity on sensory testing. However, the patients who achieved alignment by 4 or 5 months did not demonstrate any better quality of binocularity than that found in a previously studied group of patients aligned at 6 months.
CONCLUSION
Binocularity that includes refined stereoacuity remains an elusive target and a rare outcome for an ophthalmologist treating congenital esotropia, despite very early surgical alignment.
目的
完成首次独立且规模最大的多中心结局研究，以分析一系列6个月前接受手术矫正并至少随访4年的患者的运动和功能结果。
方法
16例平均4.2个月时接受手术矫正的患者，平均在7.1岁时接受检查，以评估其运动和功能结局。
结果
运动和感觉测试显示，11例患者在近点处存在轻微或可忽略不计的运动性斜视，具备双眼融合和大体立体视能力。1例3个月时接受矫正的患者在感觉测试中表现出可重复的精细立体视锐度。然而，4或5个月时接受矫正的患者，其双眼视质量并不比先前研究的一组6个月时接受矫正的患者更好。
结论
尽管手术矫正非常早，但对于治疗先天性内斜视的眼科医生而言，具备精细立体视锐度的双眼视仍然是一个难以实现的目标，且很少出现这种结果。
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