急性共同性内斜视的临床特点、治疗方法及长期疗效

目的 探讨急性共同性内斜视(AACE)的临床特点、治疗方法并观察其长期疗效。 方法 2014年10月至2017年6月山东大学附属省立医院东院区眼科收治的AACE患者11例,根据其不同的临床特点,分别采取配戴三棱镜或手术的治疗方法,对其治疗后复视、眼位、眼球运动及双眼视功能的长期疗效进行观察。 结果 观察6个月以上,配戴三棱镜患者戴镜后复视消失,双眼视功能恢复正常;手术患者术后复视消失,眼位正位,眼球运动未出现非共同性,双眼视功能提高。 结论 急性共同性内斜视根据其临床特点、斜视度大小、复视程度,采取不同的治疗方法,配戴三棱镜及手术治疗均取得了比较满意的长期效果。

Clinical characteristics of acute concomitant esotropia: long-term effects of curative treatment approaches

Objective The present study aimed to investigate the clinical features of acute concomitant esotropia, as well as the long-term effects of curative treatment approaches. Methods The study included 11 patients with acute concomitant esotropia who were treated by the same clinician between October 2014 and June 2017. We examined the effect of prism treatment or surgical intervention on diplopia, eye function, eye movement, and binocular visual function according to the clinical characteristics. Results Following the removal of the prism after at least 6 months of treatment, binocular vision had returned to normal. No postoperative diplopia was observed in surgical patients, who also exhibited improvements in ocular positivity, binocular vision, and eye movement. Conclusion Both prism and surgical treatment can be used to achieve satisfactory long-term outcomes in patients with acute concomitant esotropia. The appropriate treatment should be selected based on the patient’s clinical features, the size of the oblique visual field, and the degree of diplopia.