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目的:探讨儿童部分调节性内斜视的手术治疗。方法:观察儿童部分调节性内斜视术前视力、眼位、双眼三级视功能、手术时机、手术量,术后眼位及术后双眼三级视功能情况。结果:术后正位54例,正位率84·38%,术后获得立体视46例(71·88%)。发病越早,术前病程越长,术后越难建立立体视。结论:当部分调节性内斜视患儿戴全矫镜半年眼位仍不能正位时,应尽早手术,手术量根据戴镜与裸眼视近的平均斜视度决定。
Objective: To investigate the surgical treatment of partial accommodative esotropia in children. Methods: Preoperative visual acuity, eye position, binocular tertiary visual function, operation time, operation volume, postoperative ophthalmic position and postoperative binocular tertiary visual function were observed in children with partial accommodative esotropia. Results: There were 54 cases of anteroposterior postoperatively with a positive rate of 84.38% and 46 cases (71.88%) of postoperative stereopsis. The earlier the onset, the longer the duration of preoperative, the more difficult to establish stereopsis. Conclusion: When partial accommodative esotropia patients with full orthokecful hemianopia still can not position, should be operated as soon as possible, the amount of surgery according to the average strabismus degree of wearing glasses and naked eye vision near the decision.