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目的:探讨先天性内斜视的手术时机、手术方法及手术效果。方法:回顾性分析手术治疗的先天性内斜视36例。内斜视20△单眼内直肌后徙5 mm;+40△～60△双眼内直肌后徙4～6 mm;少数大龄患儿且斜视角较大者采用双眼内直肌后徙加单眼外直肌截除术。术后同视机训练三级功能。结果:术后眼位正位28例,欠矫7例,过矫1例。术前斜视角在+30△～+50△,术后眼位正位率91.67%(33/36);术前斜视角大于+50△,术后眼位正位率61.11%(22/36)。结论:先天性内斜视患儿应早期手术治疗,双眼内直肌后徙术为首选术式,术后的随访对于远期眼位正位非常重要。
Objective: To investigate the timing of surgery, surgical methods and surgical outcomes of congenital esotropia. Methods: A retrospective analysis of 36 cases of congenital esotropia treated by surgery. Esotropia 20 △ monocular rectus muscle resettlement 5 mm; + 40 △ ~ 60 △ binocular rectus muscle reset after 4 ~ 6 mm; a few older children with larger oblique angle rectus binocular rectus plus monocular outside Muscle dissection. After the same three-level machine training function. Results: There were 28 cases of orthophoria after operation, 7 cases of undercorrection, and 1 case of overcorrection. The preoperative oblique angle was + 30 △ ~ + 50 △, and the positive postoperative ophthalmic position was 91.67% (33/36). The preoperative oblique angle was greater than + 50 △, and the positive postoperative ocular position was 61.11% (22/36 ). Conclusion: Children with congenital esotropia should be treated with early surgery and posterior rectus implantation in both eyes as the preferred surgical procedure. Postoperative follow-up is very important for the long-term orthophoritis.