目的:探讨对麻痹性斜视出现的复视用压贴三棱镜的非手术治疗及疗效观察。方法:对麻痹性斜视14例患者,通过眼部检查、验光配戴框架眼镜,有上睑下垂的患者,配戴自制支架框架眼镜,反复测量斜视度后,压贴相应度数的膜状三棱镜矫正复视,检查同视机Ⅰ级视功能。结果:患者14例中复视完全消失9例,5例明显好转,6例有代偿头位的,头位消失,8例有同视机Ⅰ级视功能。结论:对于麻痹性斜视不适合做手术的患者,用压贴三棱镜,可以有效改善患者复视及代偿头位,能改善患者生活质量,又不影响原发病的治疗。

AIM:To investigate the efficacy and safety in patients with diplopia caused by paralytic strabismus treated with pressing triple prism.METHODS:Fourteen patients with paralytic strabismus were included in this study.All patients were given eye examination,optometry and weared frame spectacles;the patients complicated with blephroptosis were weared stent frame glasses.Pressed the corresponding degree of membranous triple prism to correct diplopia after mea-suring the degree of strabismus repeatedly.Then syno-ptophore was used to test the level Ⅰ function in patients.RESULTS:Among 14 cases,9 suffered from diplopia were completely disappeared,5 were obviously improved;and after the treatment,the compensatory head posture of 6 patients were gone,8 had level Ⅰ function by syno-ptophore test.CONCLUSION:Pressing triple prism is effective to relieve diplopia and compensatory head posture of the patient not suitable for the surgery,and it can improve the quality of life and not affect the treatment of primary disease.

R777.41