CAJ | 학술논문

目的：探讨A型斜视的病因、临床特征及治疗方法。方法分析37例A型斜视患者的病历资料和临床治疗效,所有患者依据是否伴有上斜肌功能过强,原位水平斜视及双眼视觉功能情况行选择不同的手术，观察手术前后眼位，上斜肌功能及双眼单视功能的变化。结果 A型斜视占同期斜视患者4.0%，在同期所有的A-V征中 A外斜占21.2%， A内斜占3.8%，术后眼位恢复正位31例（84.9%），A征消失33例（90.4%）术后28例获得立体视功能,包括术前3例存在立体视功能患者。结论上斜肌亢进为A型斜视主要发病原因，常合并水平斜视，应依据是否伴有斜肌功能异常及双眼视情况选择不同的手术方式，可获得满意的术后效果。
목적：탐토A형사시적병인、림상특정급치료방법。방법분석37례A형사시환자적병력자료화림상치료효,소유환자의거시부반유상사기공능과강,원위수평사시급쌍안시각공능정황행선택불동적수술，관찰수술전후안위，상사기공능급쌍안단시공능적변화。결과 A형사시점동기사시환자4.0%，재동기소유적A-V정중 A외사점21.2%， A내사점3.8%，술후안위회복정위31례（84.9%），A정소실33례（90.4%）술후28례획득입체시공능,포괄술전3례존재입체시공능환자。결론상사기항진위A형사시주요발병원인，상합병수평사시，응의거시부반유사기공능이상급쌍안시정황선택불동적수술방식，가획득만의적술후효과。
Objective To investigate the etiology, A pattern strabismus clinic features and treatment methods.Methods Clinical data and treatment effect analysis of 37 cases of A pattern strabismuscases, all patients according to whether with too strong oblique muscle function,in situ horizontal strabismus and binocular visual function were done to select different operation, eye position changes were observed before and after the operation, the functions of superior obliquus and single visual function.Results A-pattem deviation accounts for 4.0% of all strabismus. A-pattem exotropia accounts for 21.2% ofA-V syndrome and A-pattem esotropia is 3.8% of them .AFTER surgery,31cases got alignment,33cases got A-sign correction and 58cases got binocular vision. Conclusion A-pattem is etiology is mainly oblique muscle dysfunction.Different surgical procedures should be selected according to overaction degrees of oblique muscle and binocular vision,which can acquire the satisfied results.