手术治疗先天性内斜视临床探讨

目的：探讨先天性内斜视的临床特点、手术时机、手术方法及疗效。方法回顾分析43例施行手术的先天性内斜视病例的治疗结果。结果正位36例，正位率83.72%，欠矫5例，占11.63%，过矫2例，占4.65%，随访2~4年，部分病例经过二次手术，术后进行弱视治疗及双眼单视功能训练，最终获得正位率41例，占93.02%，弱视治愈率92.11%，23.26%病人恢复双眼单视功能。结论先天性内斜视的患者应早期手术治疗，术后弱视治疗及双眼单视功能训练，对远期眼位正位，弱视的治愈及双眼单视功能的重建非常重要。

Clinical study of surgical treatment for congenital esotropia

To study the clinical features of congenital esotropia, operation timing, methods of surgery, and curative effect. Methods Retrospective analysis the outcomes of 43 cases after congenital esotropia treat-ment. Results After the first operations, 36 cases （83.72%） were orthotopic, 5 cases （11.63%） were undercorrected, 2cases （4.64%） were overcorrected respectively. All the patients underwent the follow-up visit for 2 to 5 years. Par-tial patients got the second time surgeries and 41 cases （ 93.02%） gained orthotopia with training of amblyopia and synoptophore. The amblyopia cure rate reached to 92.11% and 23.26% patients regained the binocular vision. Con-clusions Congenital esotropia should be treated with surgery earlerly, postoperative amblyopia and binocular vision training is the key way to cure amblyopia and rebuilt binocular vision .