目的:观察非对称性手术矫正共同性斜视的疗效。方法:选择138例共同性斜视患者,其中包括共同性外斜视88例,共同性内斜视50例,合并垂直斜视度<7△的20例,合并轻度眼球隐性震颤的4例。其中外斜视平均斜视度30△～65△,内斜视平均斜视度30△～70△。所有患者均经过屈光矫正,弱视治疗视力提高至0.8以上,或双眼视力平衡0.6以上,同视机检查视功能,内斜患者戴镜矫正6mo以上。三棱镜检查33cm和5m斜视度差值≤15△的基本型斜视患者,斜视度在30△～70△的行单眼水平肌肉后徙加缩短的非对称性手术。术后1wk年龄在6～14岁的做10d同视机功能训练。结果:术后1mo复查:矫正正位126例,欠矫8例,过矫2例,垂直斜视度变化不大,复视2例。术后3mo复查:矫正正位128例,欠矫8例,过矫1例,复视1例。同视机检查三级功能:术后做过功能训练的Ⅰ,Ⅱ,Ⅲ级视功能建立,Ⅰ级视功能建立35例,Ⅱ级视功能建立58例,Ⅲ级视功能建立45例。结论:非对称性手术矫正共同性斜视效果满意,儿童术后行功能训练有助于早日恢复视功能。

·AIM:To observe the effect of the asymmetrical surgery for concomitant strabismus·METHODS:Totally 138 patients with concomitant strabismus were analysed,incluing 88 cases concomitant exotropia and 50 cases concomitant esotropia,20 cases combined with vertical slant degree <7△,and 4 cases with mild eyeball recessiveness trembles.The average slant degree of exotropia was 30△-65△,and that of esotropia was 30△-70△.After the refraction and amblyopia treatment,the visual acuity of all patients was improved to >0.8,or the balance vision of binocular improved to 0.6,visual function was inspected with synoptophore and esotropia patients were corrected by wearing glasses for >half year.Strabismus patients with the difference of 33cm and 5m slant visual degree ≤15△ and slant visual degree within 30△-70△by triple prism underwent the asymmetrical surgery combined with the simple eye horizontal muscle withdrawal and reduction.The function training by synoptophore were performed for 10 days for patients aged from 6-14 years old 1 week after operation.·RESULTS:One month after operation:126 cases were corrected;8 cases were undercorrected;2 cases were overcorrected;2 cases were diplopia,vertical slant degree was not changed.Three months after operation:128 cases were corrected;8 cases were undercorrected;1 case was overcorrected;1 case was diplopia.Synoptophore inspection:Ⅰ,Ⅱ and Ⅲ levels visual functions were recovered after the function training,includingⅠlevel 35 cases,Ⅱlevel 58 cases and Ⅲ level 45 cases.·CONCLUSION:The asymmetrical surgery has a satisfied effect for concomitant strabismus.Function training after operation is helpful to restore visual function.·

R779.6