成人共同性水平斜视术后双眼视功能重建的研究

目的探讨成人水平性共同性斜视矫正术后双眼视功能的重建。方法分析45例年龄为18～50岁共同性水平斜视矫正手术后的双眼视功能。结果本组患者术前最佳矫正视力≥0．3，双眼最佳矫正视力相差≤2行，术前均无双眼视功能。斜视矫正术后6周，40例（88．89％）有不同程度的近立体视，其余5例（11．11%）术后无双眼单视，但仅2例经同视机检查有Ⅲ级功能。结论成人共同性斜视术后不仅达到美容目的，而且还可获得一定程度的双眼视功能。

The study of reconstruction of binocular vision in adult after horizontal concomitant strabismus surgery

Objective To study reconstruction of binocular vision after horizontal concomitant strabismus surgery in adult.Methods 45 patients(aged 18 to 50 years old) with concomitant horizontal strabismus were studied.Preoperative and postoperative binocular vision functions were investigated.Results Best corrected visual acuity in all patients was≥0.3 and the difference between both eyes was≤2 lines before operation.All patients had no binocular vision function before operation.At 6 weeks after operation,40 patients (88.89％) had vary degrees of near stereoacuity.Remaining 5 patients had no binocular vision function but only 2 cases had grade 3 in stereoacuity by synoptophore.Conclusion The strabismus surgery is not only to achieve cosmetic purposes,but also to have a degree of binocular visual function in adult.