眼位对间歇性外斜视患者远近立体视的影响
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Eye position influence on far and near stereoscopic vision of intermittent exotropia patients
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    摘要:

    目的:分析眼位变化对间歇性外斜视患者远近立体视的影响。 方法:采用Clement Clarke International同视机检测远立体视,选用随机点画片。采用Titmus立体图检测近方立体视。对40例间歇性外斜视患者术前及术后1wk分别进行远近立体视测定,对所得结果进行分析。 结果:术前近立体视存在比率要高于远立体视存在比率。术前近立体视锐度分布情况与正常人不同。术后远近立体视均有不同程度改善。差异有统计学意义。 结论:间歇性外斜视患者存在不同程度的远近立体视。间歇性外斜视患者立体视的损害表现为远立体视丧失,近立体视锐度下降。大部分间歇性外斜视患者虽然存在近立体视,但立体视锐度要低于正常。眼位矫正对于近立体视改善及远近立体视重建有重要作用。间歇性外斜视患者手术时机的选择应参考远近立体视检查结果。

    Abstract:

    AIM:To analyze the eye position influence on far and near stereo vision of intermittent exotropia patients. METHODS:Far stereo vision was tested by Clement Clarke International synoptophore, using random-dot picture card.Near stereo vision was tested with three-dimensional map. Far and near stereo vision of 40 intermittent exotropia patients were measured preoperative and postoperative a week respectively, and the results were analyzed. RESULTS:Preoperative existence ratio of near stereo vision was higher than the rate of far stereo vision. Preoperative visual acuity distribution of near stereo vision was different from normal. Postoperative far and near stereo vision were improved in varying degrees. The difference was statistically significant. CONCLUSION:Intermittent exotropia patients have different degree far and near stereo vision. The stereo vision damage in intermittent patients shows the loss of far stereo vision and the decline of near stereoacuity.Most patients with intermittent exotropia have near stereo vision, but the stereoacuity is lower than normal. The operation of eye position correction is important for near stereoacuity improvement and far stereo vision reconstruction. Surgery timing for patients with intermittent exotropia should be referred to the distance and near stereoscopic vision test results.

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邱辉,史铭宇,李洪阳,等.眼位对间歇性外斜视患者远近立体视的影响.国际眼科杂志, 2012,12(6):1132-1133.

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  • 收稿日期:2011-12-06
  • 最后修改日期:2012-04-26
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