成人与儿童间歇性外斜视的特点及手术设计比较推荐到首页 □ 《中华医药杂志》2004年第05期1/4页1234
【关键词】成人与儿童
【摘要】目的研究成人与儿童间歇性外斜视的不同临床特点和手术处理原则。方法总结62例成人和21例儿童间歇性外斜视病人就诊时的主要症状和外斜视的临床特点，回顾分析其术后效果。结果成人间歇性外斜视病人就诊原因主要以复视、视疲劳、阅读困难为常见主诉，外斜视影响美观其次，手术效果评价主要为改善术前症状。儿童间歇性外斜视病人就诊原因主要为家长担心外斜视影响美观，手术指征为间歇性外斜视影响视功能，手术效果评价主要为恢复建立立体视觉。结论成人间歇性外斜视手术量应保守，手术目的以改善消除术前症状，改善工作、学习的舒适视觉状态为主。手术成功的关键在于手术设计上有意识的欠矫。视力发育已成熟的儿童间歇性外斜视手术设计上应有意识的稍过矫，防术后回退，手术目的以改善外观，建立立体视觉为主。
关键词间歇性外斜视手术双眼视觉立体视觉
theclinicalcharacteristicsandsurgeryprojectofintermittentexotropiainadultsandchildren
zouling，liuchunmin，wujianfan，etal.
shenzheneyehospital，theaffiliatedshenzhenmedicalcenterofjinanuniversitymedicalcollege，guangdong518001.
【abstract】objectiveastudyofdifferentclinicalcharacteristicsandsurgicalmanagementinintermittentexotropiabetweenadultsandchildrenwasreviewed.methodsweanalyzedtheclinicalsymptomandthecharacterisˉtics，andassessedthesurgicalresultsin62casesinadultsand21casesinchildrenwithintermittentexotropia.resultsthemostcommonsymptomsinadultswithintermittentexotropiawerediplopia，fatigueandreadingdifficulty.asˉsessingoperationresultwastoimproveclinicalsymptom.themostcommonsymptomsinchildrenwithintermittentexˉotropiawereappearance.assessingoperationresultswastobuildstereopsis.conclusioncorrectivesurgeryinadultswithintermittentexotropiashouldbeconservative.theaimofoperationistoavoidtheclinicalsymptom.thekeytosuccessisundercorrectiveconsciously.correctivesurgeryinchildrenwithintermittentexotropiashouldbealittleoverˉcorrectiveconsciously.theaimofoperationistorecoverbinocularsinglevisionfunction.
keywordsintermittentexotropiasurgerybinocularvisionstereopsis
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