先天性斜视

手术治疗儿童先天性内斜视76例

Surgical treatment of seventy-six cases with congenital esotropia in child

先天性内斜视的临床特征及治疗

Clinical feature and treatment of congenital esotropia

方法追踪观察60例先天性内斜视手术治疗后眼位和双眼单视功能的变化，并进行分析。

Methods Eye position and binocular vision was analyzed in60 cases of congenital esotropia treated by surgery .

目的观察先天性内斜视手术治疗后眼位和双眼单视功能的变化。

Objective To observe the eye position and binocular vision function in congenital esotropia treated with surgery .

目的探讨先天性内斜视的手术时机、手术方法及效果。方法回顾性分析经双眼内直肌后徙术的先天性内斜视儿童80例。

Objective To evaluate how to use the methods of surgery , when to performed the surgery on the patient with congenital esotropia and the efficacy after the surgical treatment .

结论（1）先天性内斜视主要危害是双眼单视功能的缺陷和弱视，应早期手术，4岁前手术可能获得双眼单视功能。

Conclusion The chiefly harm of congenital esotropia is the defect of binocular vision function and amblyopia , should be operated early , to surgery before 4 years old may achieve binocular vision function .

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岁前手术组患者术后双眼单视功能明显优于4岁后手术组。

Results Rate of long-term normal position was significantly lower than that of early postoperation , and visual function in group of surgery before 4 years old was significantly better than that of after 4 years old .

NGF和CNTF在先天性麻痹性斜视中的表达及其作用机制

Expression and Mechanism of NGF and CNTF in Congenital Paralytic Strabismus

目的研究先天性麻痹性斜视眼肌的形态学改变。

Objective To study the morphologic diversity of extraocular muscles with congenital paralytic strabismus .

先天性麻痹性斜视应早期手术治疗，以免眼外肌病理改变加重，影响双眼视功能恢复。

Conclusion Early operation on congenital paralytic strabismus is preferable in case any serious pathological change should happen to the muscles to deter visual function from restoring .

先天性麻痹性斜视手术中先天性上斜肌麻痹手术量占第一位。后天性麻痹性斜视手术中外直肌麻痹手术量占第一位。

The surgery of superior oblique paralysis was in the first place in the congenital paralytic strabismus surgery and in the acquired paralytic strabismus surgery , the lateral rectus paralysis was in the first place .

目的：探讨下斜肌减弱术在不同类型先天性麻痹性垂直斜视治疗中的效果及手术选择的基本原则。

Objective : To evaluate the therapeutic effects of diminishing the inferior oblique for congenital paralytic squint with vertical muscles palsy , and the rules of surgery design .