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目的探讨双眼内直肌后徙术对高AC/A内斜视的手术疗效。方法50例高AC/A内斜视患儿,以戴全矫镜后看近(33cm)斜视角为依据行双内直肌后徙术,并比较手术前后眼位、AC/A值及双眼单视功能。结果手术前后看近看远(6m)斜视角及AC/A值均有显著性差异,眼位满意率达到98%。38例病人中,术后28例建立了双眼单视功能,占73.7%,手术前后差异有显著性。结论根据戴全矫镜看近斜视角采取相应手术量的双内直肌后徙术治疗高AC/A内斜视,可以有效降低AC/A值并获得满意的看近看远的眼位,不同程度地提高患者的融合及立体视功能。
Objective To investigate the surgical treatment of high AC / A esotropia after binocular rectus reinnervation. Methods Fifty children with high AC / A esotropia underwent bilateral rectus abdominis reimplantation surgery after wearing full orthopedic surgery and their changes in ocular position, AC / A value, binocular vision Features. Results Before and after the operation, there was a significant difference between the near-far-view (6m) angle of view and the AC / A value. The satisfactory rate of the eye position reached 98%. Among the 38 patients, binocular visual function was established in 28 cases (73.7%), with significant difference before and after surgery. Conclusion According to Dai Quan correction of near-squint angle to take the appropriate amount of surgery after rectus double rectus muscle treatment of high AC / A esotropia, can effectively reduce the AC / A value and get a satisfactory look at the far distance eye position, to varying degrees To improve patient integration and stereopsis.