Abbasoglu O E, Sener E C, Sanac A S
Hacettepe University School of Medicine, Department of Ophthalmology, Sihhiye Ankara, Turkey.
Eye (Lond). 1996;10 ( Pt 3):315-20. doi: 10.1038/eye.1996.66.
In this retrospective study based on 140 esotropic and 51 exotropic patients, the factors influencing successful outcome and response to strabismus surgery were investigated. Thirteen independent variables were chosen. The pre-operative deviation was found to be the only discriminant factor for early and late successful surgical outcomes in esotropic patients. For exotropic patients the visual acuity of the left eye was the discriminant factor for early successful surgical outcome. In esotropic patients the response to surgery increased with increasing amounts of pre-operative deviation. It was lower for patients with older age of onset and larger amounts of medial rectus recession. For exotropic patients the response to surgery was higher for larger pre-operative deviations. Eliminating possible sources of error when determining the pre-operative deviation will improve the predictability of the response to surgery and surgical outcome.
在这项基于140例内斜视患者和51例外斜视患者的回顾性研究中，对影响斜视手术成功结果及反应的因素进行了调查。选取了13个独立变量。结果发现，术前斜视度是内斜视患者早期和晚期手术成功结果的唯一判别因素。对于外斜视患者，左眼视力是早期手术成功结果的判别因素。在内斜视患者中，手术反应随着术前斜视度的增加而增加。发病年龄较大且内直肌后徙量较大的患者手术反应较低。对于外斜视患者，术前斜视度越大，手术反应越高。在确定术前斜视度时消除可能的误差来源将提高手术反应及手术结果的可预测性。
