中国实用眼科杂志
中國實用眼科雜誌
중국실용안과잡지
CHINESE JOURNAL OF PRACTICAL OPHTHALMOLOGY
2012年
1期
78-80
,共3页
任小军%潘美华%修阳晖%谢仁艺
任小軍%潘美華%脩暘暉%謝仁藝
임소군%반미화%수양휘%사인예
A-V综合征%立体视%手术
A-V綜閤徵%立體視%手術
A-V종합정%입체시%수술
A and V patterns%Stereopsis%Surgery
目的 观察A-V综合征患者术后重建的影响因素.方法 4～10岁A-V综合征住院患者共97例,其中V征71例,外斜V征48例,内斜V征23例,平均年龄6.3岁；A征26例,外斜A征21例,内斜A征5例,平均年龄5.9岁,随访时间8～16周,平均10.7周.术前、术后采用同视机和Titmus和分别测定远,近立体视.观察指标包括:发病年龄、病程、术后眼位和水平斜视类型.结果 97例患者中,术后正前方及下方均正位的患者共88例,术后分别有27例(30.68％)和35例(39.77％)获得了远立体视和近立体视,比例高于术后欠矫或过矫组.发病年龄组间比较,术后立体视获得比率＜3岁组低于≥3岁组(P＜0.05)；病程≤2年患者的术后获得立体视的比例明显高于病程＞3年的患者(P＜0.05)；外斜V或A征组术后的立体视获得比例要高于内斜V或A征组,组间近立体视比较,差异有统计学(P＜0.05),远视力比较差异无统计学意义(P＞0.05).结论 A-V型斜视术后立体视的重建与发病年龄和病程相关,因此早期发现,正确的诊断与治疗有助于双眼单视的恢复.
目的 觀察A-V綜閤徵患者術後重建的影響因素.方法 4～10歲A-V綜閤徵住院患者共97例,其中V徵71例,外斜V徵48例,內斜V徵23例,平均年齡6.3歲；A徵26例,外斜A徵21例,內斜A徵5例,平均年齡5.9歲,隨訪時間8～16週,平均10.7週.術前、術後採用同視機和Titmus和分彆測定遠,近立體視.觀察指標包括:髮病年齡、病程、術後眼位和水平斜視類型.結果 97例患者中,術後正前方及下方均正位的患者共88例,術後分彆有27例(30.68％)和35例(39.77％)穫得瞭遠立體視和近立體視,比例高于術後欠矯或過矯組.髮病年齡組間比較,術後立體視穫得比率＜3歲組低于≥3歲組(P＜0.05)；病程≤2年患者的術後穫得立體視的比例明顯高于病程＞3年的患者(P＜0.05)；外斜V或A徵組術後的立體視穫得比例要高于內斜V或A徵組,組間近立體視比較,差異有統計學(P＜0.05),遠視力比較差異無統計學意義(P＞0.05).結論 A-V型斜視術後立體視的重建與髮病年齡和病程相關,因此早期髮現,正確的診斷與治療有助于雙眼單視的恢複.
목적 관찰A-V종합정환자술후중건적영향인소.방법 4～10세A-V종합정주원환자공97례,기중V정71례,외사V정48례,내사V정23례,평균년령6.3세；A정26례,외사A정21례,내사A정5례,평균년령5.9세,수방시간8～16주,평균10.7주.술전、술후채용동시궤화Titmus화분별측정원,근입체시.관찰지표포괄:발병년령、병정、술후안위화수평사시류형.결과 97례환자중,술후정전방급하방균정위적환자공88례,술후분별유27례(30.68％)화35례(39.77％)획득료원입체시화근입체시,비례고우술후흠교혹과교조.발병년령조간비교,술후입체시획득비솔＜3세조저우≥3세조(P＜0.05)；병정≤2년환자적술후획득입체시적비례명현고우병정＞3년적환자(P＜0.05)；외사V혹A정조술후적입체시획득비례요고우내사V혹A정조,조간근입체시비교,차이유통계학(P＜0.05),원시력비교차이무통계학의의(P＞0.05).결론 A-V형사시술후입체시적중건여발병년령화병정상관,인차조기발현,정학적진단여치료유조우쌍안단시적회복.
Objective To observe the influence factors of A-V pattems's stereoacuity in 4-10 years old children after operation. Methods Ninety-seven cases of 4-10 years-old A and V patterns were studied.Binocular corrected vision of all cases was more than 0.6.A patterns were 26 cases and V patterns were 71 cases.Followed time was 8-16 weeks.Far stereopsis acuity and near stereopsis acuity were examined with synoptophore and Titmus in each group.The influence factors included age of set,course,post-operation position of eye and squint type. Results Eighty-eight of 97 cases were obtained orthotropia on right front and lower.In the 88 cases,there were 27 (30.68％) cases obtained far stereopsis and 35 (39.77％) obtained near stereopsis.In age of onset group,there were statistically significant difference between ＜3 years-old and ≥3 years-old (P ＜0.05).The same outcomes also were seen in course group.Course below 2 years group had higher rate than another group (P ＜0.05).Exotropia group had higher rate than esotropia group on near stereopsis,but there was no statistically significant difference in far stereopsis. Conclusions Age of onset,course and orthotropia rate of post-operation are key to refounding the stereopsis acuity for A-V patterns patients.Correct treatment and diagnosis early are benefit to obtain the stereopsis acuity to A-V patterns patients.
