目的：回顾性分析显微镜下斜视矫正术的优越性。 方法：斜视患者387例，男224例，女163例，年龄3～65岁，其中共同性斜视296例，麻痹性斜视65例，A-V征19例，垂直分离性斜视7例。全部病例均在显微镜下完成斜视矫正术，对复杂性斜视手术行睫状前血管分离保留。 结果：术后23例欠矫，8例过矫，斜视矫正率达92.0％，有效率达100％。无1例发生眼前节缺血；手术视野清晰，操作准确，损伤小；手术并发症极少，局部反应轻微，恢复快。 结论：显微镜下斜视手术与以往常规肉眼下斜视手术相比，无论从减轻手术创伤提高手术的准确性和减少手术并发症上，都有诸多的优越性。

AIM:To analyze the superiority of microscope strabismus surgery retrospectively. METHODS:Totally 387 cases with strabismus, male 224 cases, female 163 cases, aged 3 to 65 years, 296 cases were concomitant strabismus, 65 cases were paralytic strabismus, A-V syndrome in 19 cases, 7 cases of dissociated vertical deviation. All cases were performed strabismus surgery under microscope. The complex strabismus operation had anterior ciliary vessels separation and retention. RESULTS:All 23 cases were undercorrection, 8 cases overcorrection, strabismus correction rate reached 92.0%, and the efficaly rate reached 100%. No case of anterior segment ischemia occurred.The operation field was clear, operation accurate;post operative complications were minimal, local reactions mild, and recovery fast. CONCLUSION:Strabismus operation under microscope compared with the conventional naked eye strabismus operation, there are many advantages both in reducing operation trauma to improve operation accuracy and in reducing operation complication.