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目的探讨部分调节性内斜视对儿童双眼视觉发育的影响及最佳治疗时机。方法观察86例部分调节性内斜视儿童戴镜前后、弱视治疗前后,38例手术治愈前后的立体视功能,分析多种因素对儿童视觉发育的影响。结果部分调节性内斜视儿童的双眼视觉,治疗前为698%,戴镜前后变化不显著,弱视治疗前后差异显著,手术治愈的病例双眼视觉恢复率为6842%,发病年龄越小,立体视功能恢复越差,戴镜年龄、手术年龄越小,可促进双眼视觉的发育与恢复,眼位偏斜程度对双眼视觉的影响差异不显著;部分调节性内斜视儿童的AC/A比值与正常儿童比较差异显著。结论调节因素在部分调节性内斜视的发病中起了重要作用。
Objective To investigate the effect of partial accommodative esotropia on the visual development of children’s eyes and the best treatment timing. Methods The stereopsis of 38 patients with partial accommodative esotropia before and after wearing glasses and before and after amblyopia treatment were observed before and after operation. The effects of various factors on the visual development of children were analyzed. Results Partial esotropia in children with binocular vision before treatment was 698%, before and after wearing glasses did not change significantly, before and after amblyopia treatment was significantly different, surgical cure cases binocular vision recovery rate was 68 42%, the younger the age of onset, The worse the stereopsis restoration, the age of wearing glasses and the younger age of surgery can promote the development and recovery of binocular vision, and the degree of eye position deviation has no significant effect on binocular vision. The AC / A ratio of partial accommodative esotropia Normal children were significantly different. Conclusion The regulatory factors play an important role in the pathogenesis of some regulatory esotropia.