CAJ | 학술논문

内斜视患者的远视性屈光不正应该如何矫正,在理论上是一个已经解决的问题.有些专著对全部矫正存在不同的解释,“全部矫正”的概念模糊,还担心全矫之后会引起调节失用,引起外斜视.特别是临床实践中也有的医师担心远视力下降,在开具远视眼镜处方的时候,总是存在不同程度、甚至很大程度的欠矫.文章指出全矫的确切含义,以及全部矫正的效果,对上述观点进行详细的分析,避免光学矫正之后调节性内斜视和非调节性内斜视的界限仍然不能完全划清,使完全调节性内斜视患者的视轴尽早恢复正常,使得调节因素引起的内斜视完全得到光学矫正,避免没有必要的手术治疗.
내사시환자적원시성굴광불정응해여하교정,재이론상시일개이경해결적문제.유사전저대전부교정존재불동적해석,“전부교정”적개념모호,환담심전교지후회인기조절실용,인기외사시.특별시림상실천중야유적의사담심원시력하강,재개구원시안경처방적시후,총시존재불동정도、심지흔대정도적흠교.문장지출전교적학절함의,이급전부교정적효과,대상술관점진행상세적분석,피면광학교정지후조절성내사시화비조절성내사시적계한잉연불능완전화청,사완전조절성내사시환자적시축진조회복정상,사득조절인소인기적내사시완전득도광학교정,피면몰유필요적수술치료.
The subgroups of esotropia exist.The full optical correction of the hypermetropic refractive error is theoretically conclusive.The full correction further defined the diagnosis of three forms of esotropia. The earlier viewpoint that the full optical correction of the hypermetropia will decrease the accommodative normal demand or the accommodation is inactive and an exotropia will increase.After full correction of the hypermetropia the patients often complain about blurring of vision.Moreover,some doctors still have a confused ideas about full correction of the hyperopia.The final outcome that of most of patiens with under-corrected hypermetropia,three commonly forms of esotropia ( Accommodative esotropia,partially accommodative esotropia and nonaccommodative esotropia) will not be clearly differentiated as each requires different clinical management.