目的:观察先天性内斜视的临床特点和治疗,随访手术治疗后眼位的变化,探讨早期治疗的意义。方法:追踪观察40例先天性内斜视手术治疗后眼位的变化,并进行分析。手术以双侧内直肌后徙术为主,少数年长且斜视角较大者采用双侧内直肌后徙加单侧外直肌截除术。结果:先天性内斜视手术治疗后远期眼正位率明显低于术后近期正位率,4岁前手术组患者双眼单视功能明显优于4岁后手术组。结论:先天性内斜视患者在视力发育敏感期内得到正确的手术治疗,功能治愈率良好。

AIM:To observe the clinical features and therapeutic efficacy of congenital esotropia and to follow-up the strabismus changes after surgery and the significance of the early treatment. METHODS: This study added up clinical data of 40 cases with congenital esotropia and made a retrospective analysis for their long-term eye position observation results.RESULTS: In congenital esotropia, postoperatively, the rate of achieving alignment within±10△at the last follow-up was significantly low and binocular vision in the group of surgery before 4 years old was significantly higher than that of after 4 years old.CONCLUSION: When cases with congenital esotropia obtain operation in sensitive period of vision development, the functional recovery is good.

R779.6