中国实用眼科杂志
中國實用眼科雜誌
중국실용안과잡지
CHINESE JOURNAL OF PRACTICAL OPHTHALMOLOGY
2014年
5期
646-649
,共4页
曲晓蕾%陈霞%孙艳群%付令利
麯曉蕾%陳霞%孫豔群%付令利
곡효뢰%진하%손염군%부령리
间歇性外斜视%斜视度%屈光状态
間歇性外斜視%斜視度%屈光狀態
간헐성외사시%사시도%굴광상태
Intermittent exotropia%Exotropia deviation%Refraction state
目的 了解间歇性外斜视患者的斜视类型及屈光状态分布等情况.方法 回顾性分析2011～2012年就诊于天津市眼科医院斜视与小儿眼科的1 474例间歇性外斜视患者的病历资料,了解其发病年龄、屈光状态、类型及斜视度等情况.结果 1 474例间歇性外斜视患者中,男性714例(714/1 474,48.4％),女性760例(760/1474,51.6％);发病年龄6个月至34岁,平均(5.8±5.7)岁,其中≤5岁者853例(853/1 474,57.9％).行视力及屈光状态检查者806例,其中正视14例(14/806,1.7％);单纯近视198例(198/806,24.6％);单纯远视47例(47/806,5.8％);散光314例(314/806,39.0％);屈光参差233例(233/806,28.9％).此外,在1 474例间歇性外斜视中,合并有弱视34例.根据类型和斜视度,所有患者又分为基本型1 213例(1213/1 474,82.3％),集合不足型235例(235/1 474,15.9％),外展过强型26例(26/1 474,1.8％);视远斜视度＞20△～≤40△占53.8％ (793/1 474),＞40△～≤60△占17.2％ (253/1 474);视近斜视度＞20△～≤40△占50.6％ (746/1 474),＞40△～≤60△占23.1％ (341/1 474).结论 大多数间歇性外斜视患者学龄前发病,其屈光状态主要是散光.在需手术治疗的间歇性外斜视患者中,基本型占首位.间歇性外斜视患者斜视度多为＞ 20△ ～≤60△.
目的 瞭解間歇性外斜視患者的斜視類型及屈光狀態分佈等情況.方法 迴顧性分析2011～2012年就診于天津市眼科醫院斜視與小兒眼科的1 474例間歇性外斜視患者的病歷資料,瞭解其髮病年齡、屈光狀態、類型及斜視度等情況.結果 1 474例間歇性外斜視患者中,男性714例(714/1 474,48.4％),女性760例(760/1474,51.6％);髮病年齡6箇月至34歲,平均(5.8±5.7)歲,其中≤5歲者853例(853/1 474,57.9％).行視力及屈光狀態檢查者806例,其中正視14例(14/806,1.7％);單純近視198例(198/806,24.6％);單純遠視47例(47/806,5.8％);散光314例(314/806,39.0％);屈光參差233例(233/806,28.9％).此外,在1 474例間歇性外斜視中,閤併有弱視34例.根據類型和斜視度,所有患者又分為基本型1 213例(1213/1 474,82.3％),集閤不足型235例(235/1 474,15.9％),外展過彊型26例(26/1 474,1.8％);視遠斜視度＞20△～≤40△佔53.8％ (793/1 474),＞40△～≤60△佔17.2％ (253/1 474);視近斜視度＞20△～≤40△佔50.6％ (746/1 474),＞40△～≤60△佔23.1％ (341/1 474).結論 大多數間歇性外斜視患者學齡前髮病,其屈光狀態主要是散光.在需手術治療的間歇性外斜視患者中,基本型佔首位.間歇性外斜視患者斜視度多為＞ 20△ ～≤60△.
목적 료해간헐성외사시환자적사시류형급굴광상태분포등정황.방법 회고성분석2011～2012년취진우천진시안과의원사시여소인안과적1 474례간헐성외사시환자적병력자료,료해기발병년령、굴광상태、류형급사시도등정황.결과 1 474례간헐성외사시환자중,남성714례(714/1 474,48.4％),녀성760례(760/1474,51.6％);발병년령6개월지34세,평균(5.8±5.7)세,기중≤5세자853례(853/1 474,57.9％).행시력급굴광상태검사자806례,기중정시14례(14/806,1.7％);단순근시198례(198/806,24.6％);단순원시47례(47/806,5.8％);산광314례(314/806,39.0％);굴광삼차233례(233/806,28.9％).차외,재1 474례간헐성외사시중,합병유약시34례.근거류형화사시도,소유환자우분위기본형1 213례(1213/1 474,82.3％),집합불족형235례(235/1 474,15.9％),외전과강형26례(26/1 474,1.8％);시원사시도＞20△～≤40△점53.8％ (793/1 474),＞40△～≤60△점17.2％ (253/1 474);시근사시도＞20△～≤40△점50.6％ (746/1 474),＞40△～≤60△점23.1％ (341/1 474).결론 대다수간헐성외사시환자학령전발병,기굴광상태주요시산광.재수수술치료적간헐성외사시환자중,기본형점수위.간헐성외사시환자사시도다위＞ 20△ ～≤60△.
Objective To explore the types and refraction state distribution of intermittent exotropia in our hospital.Methods The age onset,refraction state,types and exotropia deviations of 1474 patients with intermittent exotropia were analyzed retrospectively in strabismus and pediatric ophthalmology department of Tianjin Eye Hospital from January 2011 to December 2012.Results Of 1474 patients with intermittent exotropia,714 (714/1474,48.4％) patients were male,760 (760/ 1474,51.6％) patients were female; the range of age at onset was 6 months-34 years,the mean age at onset was (5.8±5.7) years,853 (853/1474,57.9％) patients were ≤ 5 years.806 patients examined visual acuity and refraction,of which,14 (14/806,1.7％) patients had emmetropia,198 (198/ 806,24.6％) myopia; 47 (47/806,5.8％) hyperopia; 314 (314/806,39.0％) astigmatism; 233 (233/806,28.9％) anisometropia.Of 1474 patients with intermittent exotropia,34 patients had amblyopia.1213 (1213/1474,82.3％) patients were the basic type,235 (235/1474,15.9％) the convergence insufficient type,26 (26/1474,1.8％) the divergence excess type.The angle of deviation at distance ＞20PD～ ≤ 40PD accounted for 53.8％ (793/1474),＞40PD～ ≤60PD 17.2％ (253/1474); the angle of deviation at near ＞20PD～≤40PD accounted for 50.6％ (746/1474),＞40PD～≤60PD 23.1％ (341/1474).Conclusions Most patients with intermittent exotropia present at around school-going age,the overall majority are astigmatism.The basic type is the most type of intermittent exotropia in the patients who need surgery.The majority of intermittent exotropia deviations is ＞20PD～ ≤60PD.
