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目的探讨儿童眼球震颤阻滞综合征的诊断及手术治疗要点。方法1例行双眼内直肌后徙术;1例行双眼内直肌后徙术并单眼外直肌截除术;1例初次手术行双眼内直肌后徙术后眼位过矫,2次及3次手术分别行单眼下斜肌后徙转位术及双眼外直肌后徙术。结果3例患者远期都获得了眼位正位及双眼单视Ⅰ级和Ⅱ级功能。结论与先天性内斜视鉴别是减少儿童眼球震颤阻滞综合征误诊的关键。为了在术后获得双眼单视功能,应早期对儿童眼球震颤阻滞综合征患者进行手术治疗。
Objective To investigate the diagnosis and surgical treatment of nystagmus syndrome in children. Methods One patient underwent bilateral posterior rectus retroflexion. One patient underwent rectus binocular posterior rectus and monocular lateral rectus truncation. One patient underwent reoperation after rectus binocular rectus muscle fixation. 2 Secondary and three surgeries were performed under the monocular oblique retrograde rotation surgery and binocular lateral rectus after surgery. Results All 3 patients had long-term positive and binocular eyesight grade Ⅰ and Ⅱ function. Conclusions and congenital esotropia identification is the key to reduce misdiagnosis of nystagmus syndrome in children. In order to obtain binocular vision after surgery, children with early nystagmus syndrome should be treated surgically.