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目的探讨压贴三棱镜的临床应用范围及疗效。方法通过在框架镜片上压贴相应度数膜状三棱镜,来矫正和缓解微小度数斜视和斜视矫正术后过矫欠矫、麻痹性斜视引起的复视,先天性眼球震颤的代偿头位、成人视疲劳等。选取2005年～2006年我院斜弱视门诊中由于各种原因配戴压贴三棱镜的15例患者,观察其应用及疗效。结果病例15例,其中共同性斜视8例,斜视术后欠矫2例(包括合并眼球震颤1例),麻痹性斜视5例(其中外伤所致3例,Grave’s眼病导致斜视1例。)其中满意12例,明显改善2例,1例由于复视不能消除,改为手术治疗。结论压贴三棱镜是一种能有效改善复视、视疲劳症状,在斜视未行矫正术前或过矫欠矫后重建视功能的非手术疗法。
Objective To investigate the clinical application and efficacy of pressure-glued prism. Methods By fitting the appropriate degree of film-shaped prisms on the frame lenses, the correction and alleviation of orthophoria, diplopia caused by paralytic strabismus, congenital nystagmus of compensatory head position, adult Such as fatigue. Select from 2005 to 2006 in our hospital oblique oblique amblyopia clinics for all kinds of reasons to wear pressure prism attached to the 15 patients observed its application and efficacy. Results Of the 15 cases, 15 were common strabismus, 2 were under-straightened after strabismus surgery (including 1 with nystagmus), 5 were paralytic strabismus (3 were caused by trauma and 1 was strabismus with Grave’s ophthalmopathy) Satisfied with 12 cases, significantly improved in 2 cases, 1 case due to diplopia can not be eliminated, to surgery. Conclusion Pressure-sensitive prism is a non-surgical therapy that can effectively improve the symptoms of diplopia and visual fatigue, reconstruct visual function before or after orthokeratology is not corrected.