Foster R S, Paul T O, Jampolsky A
Am J Ophthalmol. 1976 Aug;82(2):291-9. doi: 10.1016/0002-9394(76)90436-0.
We evaluated the management of infantile esotropia-constant, alternating esotropia before 6 months of age-in 34 children. Planned one-state surgery for satisfactory mechanical alignment was highly predicatable (79 to 84%), and was obtained at any age. Stable bifoveal motor fusion was also obtained but was more frequent with alignment before 2 years of age. The use of postsurgical spectacle orthoptics (minus lenses or prisms, or both) increased the incidence of bifoveal fusion. Surgery alone resulted in bifoveal fusion in 6% of the cases, whereas an overall incidence of 33% bifoveal fusion resulted after the use of postsurgical spectacle orthoptics by some patients. Of those receiving postsurgical spectacle orthoptics, 53% obtained bifoveal fusion. This study demonstrated a correlation between the incidence of secondary A patterns (after surgery for V esotropia) and the amount of horizontal muscle surgery done in combination with bilateral inferior oblique muscle myectomies.
我们评估了34例6个月前患有婴儿恒定性交替性内斜视患儿的治疗情况。为实现满意的机械性眼位矫正而计划的单眼手术成功率很高（79%至84%），且在任何年龄均可实现。稳定的双眼中心凹运动融合也可实现，但在2岁前进行眼位矫正时更为常见。术后使用眼镜式视光学矫正（负透镜或棱镜，或两者并用）可提高双眼中心凹融合的发生率。单纯手术导致6%的病例出现双眼中心凹融合，而部分患者术后使用眼镜式视光学矫正后，双眼中心凹融合的总体发生率为33%。在接受术后眼镜式视光学矫正的患者中，53%实现了双眼中心凹融合。本研究表明，继发性A型斜视（V型内斜视手术后）的发生率与水平肌手术联合双侧下斜肌切除术的手术量之间存在相关性。
