间歇性外斜视儿童术后视觉训练对视功能的重建效果分析
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Reconstruction effect of postoperative visual training on visual function in children with intermittent exotropia
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    摘要:

    目的:探讨视觉训练用于间歇性外斜视术后患儿对其视功能重建的效果。

    方法:选取2016-08/2019-01于我院确诊且行眼位矫正手术治疗的间歇性外斜视患儿94例94眼,根据术后是否行视觉训练分两组,术后未予以视觉训练的患儿47例纳入对照组,术后2wk开始予双眼视觉训练的患儿47例纳入观察组。随访6mo,观察两组患儿视功能恢复及眼位回退情况。

    结果:术后6mo,观察组双眼同时视功能(89%)、融合功能(85%)及立体视功能(40%)恢复患儿所占比例显著高于对照组(53%、47%、19%),且观察组患儿眼位正位率明显高于对照组(91% vs 66%)。

    结论:儿童间歇性外斜视术后进行双眼视功能训练可促进双眼视功能恢复,同时还可降低术后眼位回退风险。

    Abstract:

    AIM:To investigate the effect of visual training on the reconstruction of visual function in children with intermittent exotropia.

    METHODS: A total of 94 children with intermittent exotropia diagnosed in our hospital from August 2016 to January 2019 were selected and 94 eyes were affected. According to whether the postoperative visual training was divided into two groups, 47 patients(47 affected eyes)were not visually trained after operation and were included in the control group; 47 patients(47 affected eyes)were visually trained 2wk after operation and were included in the observation group. Follow-up for 6mo was performed to observe the recovery of visual function and eye position regression.

    RESULTS: Six months after surgery, the proportion of children in the observation group with simultaneous visual function(89%), fusion function(85%)and stereoscopic function(40%)was significantly higher than that in the control group(53%, 47%, 19%), and the orthotopic rate of children in the observation group was significantly higher than that in the control group(91% vs 66%).

    CONCLUSION: The binocular visual function training after intermittent exotropia in children can promote the recovery of binocular visual function and reduce the risk of postoperative eye position regression.

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蒋洁.间歇性外斜视儿童术后视觉训练对视功能的重建效果分析.国际眼科杂志, 2020,20(5):914-916.

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  • 收稿日期:2019-07-23
  • 最后修改日期:2020-04-17
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  • 在线发布日期: 2020-04-26
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