间歇性外斜视患者分型对眼位控制能力的影响
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Effects of position control in patients with intermittent exotropia parting mechanism
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    摘要:

    目的:分析间歇性外斜视患者分型对眼位控制能力的影响。

    方法:选取我院2014-06/2016-07收治的50例行斜视手术治疗的间歇性外斜视患者作为研究对象,依据所有患者视近与视远斜视度数差值将其分为基本型24例(视近斜视角与视远斜视角基本相等或相差≤15)、分离过强型17例(视远斜视角≥视近斜视角15)、集合不足型9例(视近斜视角≥视远斜视角15)三组,采用注视33cm视标(视近)、注视6m视标(视远)、注视户外视标、1h遮盖试验四种检测方法对其眼位控制能力进行比较。

    结果:基本型间歇性外斜视患者注视33cm视标、注视6m视标、注视户外视标、1h遮盖试验四种检测结果分别为55.10±1.62、45.32±1.21、64.85±1.77、68.33±1.66PD,分离过强型间歇性外斜视患者检测结果为50.23±1.88、67.46±1.17、76.95±1.64、78.15±1.56PD,集合不足型间歇性外斜视患者检测结果为50.98±1.29、33.48±1.40、43.65±1.49、54.64±1.12PD,组间差异具有统计学意义(P<0.05)。

    结论:间歇性外斜视患者分型对眼位控制能力存在着显著的影响关系,确定其分型将有助于提高斜视手术治疗效果。

    Abstract:

    AIM: To analysis of intermittent exotropia patients parting mechanism, the effects of position control.

    METHODS: A total of 50 patients with intermittent exotropia underwent strabismus surgery treatment were selected in our hospital from Jun.2014 to Jul.2014 as the research object. On the basis of all patients according to the close and distant strabismus degree difference were divided into basic 24 cases(visual far and near vision angle of oblique angle of the basic equal or differ 15 delta)or less, separation type to 17 cases(depending on the far angle acuity nearly 15 delta squint angle), set less than 9 cases(near vision acuity visual far angle of squint angle 15 delta)three groups, the eye position control ability was compared between the four methods, which were 6m(as far), 33cm as the standard(visual), the outdoor visual standard, and the 1h covering test.

    RESULTS: The basic model of intermittent exotropia patients at 6m mark, at 33cm, watching outdoor logo, 1h cover test of four kinds test results respectively(55.10±1.62),(45.32±1.21),(64.85±1.77),(68.33±1.66)PD, separation of a strength type test results for the intermittent exotropia patients(50.23±1.88),(67.46±1.17),(76.95±1.64),(78.15±1.56)PD, inadequate collection type test results for the intermittent exotropia patients(50.98±1.29),(33.48±1.40),(43.65±1.49),(54.64±1.12)PD, differences between groups with statistical significance(P<0.05).

    CONCLUSION: Patients with intermittent exotropia parting to eye position control ability significantly influences relationship, determine the classification will help to improve the effects of strabismus surgery, which should be paid attention during clinical attention.

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叶青,何晓平.间歇性外斜视患者分型对眼位控制能力的影响.国际眼科杂志, 2017,17(1):187-189.

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  • 收稿日期:2016-08-25
  • 最后修改日期:2016-11-25
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  • 在线发布日期: 2016-12-21
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