Paris V, Andris C, Moutschen A
CHU de Liège.
Bull Soc Belge Ophtalmol. 1995;259:143-53.
This study compared the sensory status of 23 patients (19 children and 4 adults) before and after treatment with total hypermetropic correction. We have shown that binocular improvement can be obtained in every category of strabismological pathology, including exotropia, with the exception of early onset micro-strabismus. Three cases of late onset micro-strabismus (one divergent and two convergent) where total sensory cure was obtained are also described. We confirm the slow clinical progression of hypermetropia in the strabismic patient provided with total optical correction. The two examples reported, as well as our cursory review of recent literature, provide justification for the early, systematic prescription of total optical correction for strongly hypermetropic children (> 4 D).
本研究比较了23例患者(19名儿童和4名成人)在全远视矫正治疗前后的感觉状态。我们已经表明,除早发性微小斜视外,在各类斜视病理类型中,包括外斜视,均可获得双眼视功能改善。还描述了3例迟发性微小斜视(1例分开性和2例集合性)获得完全感觉治愈的情况。我们证实,在接受全光学矫正的斜视患者中,远视的临床进展缓慢。所报告的两个例子以及我们对近期文献的粗略回顾,为给高度远视儿童(>4D)早期、系统地开具全光学矫正处方提供了依据。