共同性外斜视各类型分布的临床观察

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目的了解共同性外斜视各种类型分布的情况。设计回顾性病例系列。研究对象共同性外斜视患者1161例。方法对1161例欲行斜视矫正术的共同性外斜视患者的斜视类型、视力及斜视度进行统计和分析。主要指标共同性外斜视的类型,视力与矫正视力,斜视度等。结果1161例共同性外斜视患者中,间歇性外斜视470例(40.48%),恒定性外斜视258例(22.22%),知觉性外斜视166例(14.30%),残余性外斜视38例(3.27%),连续性外斜视2例(0.17%),共同性外斜视伴垂直斜视227例(19.55%):先天性外斜视2例(0.17%)。斜视度>60~Δ者中间歇性外斜视175例(37.24%),恒定性外斜视199例(77.55%)。共同性外斜视除外知觉性外斜视,视力或矫正视力≥1.0者945例(94.97%)。共同性外斜视近视性屈光不正者519例(85.36%)。结论在共同性外斜视中,间歇性外斜视占首位。恒定性外斜视斜视度显著大于间歇性外斜视。共同性外斜视患者的视力与矫正视力绝大多数是正常的。共同性外斜视的屈光状态主要是近视性屈光不正。(眼科,2006,15:331-334) Objective To understand the distribution of common exotropia. Design retrospective case series. A total of 1161 patients with exotropia were included in this study. Methods Strabismus, visual acuity and strabismus in 1161 patients with esotropia undergoing strabismus correction were statistically analyzed. The main indicators common type of exotropia, vision and corrected visual acuity, strabismus and so on. Results Of the 1161 patients with common exotropia, 470 (40.48%) had intermittent exotropia, 258 (22.22%) had constant exotropia, 166 (14.30%) had sensory exotropia, 38 cases (3.27%) had exotropia, 2 cases (0.17%) had continuous exotropia, 227 cases (19.55%) had common exotropia with vertical strabismus: 2 cases of congenital exotropia. 17%). There were 175 cases (37.24%) of intermittent exotropia and 199 cases (77.55%) of constant exotropia in patients with strabismus> 60 ~ Δ. Common exotropia except for perceived exotropia, visual acuity or corrected visual acuity ≥ 1.0 were 945 cases (94.97%). Common exotropia 519 cases of myopia refractive errors (85.36%). Conclusions In common exotropia, intermittent exotropia occupies the first place. Constant exotropia was significantly greater than intermittent exotropia. Common exotropia in patients with vision and correction of vision most of the normal. Common exotropia refractive state is mainly myopic refractive error. (Ophthalmology, 2006,15: 331-334)
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