国际眼科杂志2008，Vol.8Issue(3)：460-462,3.
传统与欠矫手术治疗部分调节性内斜视的比较
Comparison of Standard and undercorrected surgical methods for treating partially accommodative esotropia
Gholamreza Khataminia 1Ziaeddin Yazdian 2Mohammad Taher Rajabi2
作者信息
- 1. 伊朗德黑兰市,Ahvaz大学医学院眼科
- 2. 伊朗德黑兰市,德黑兰大学医学院眼科
- 折叠
摘要
Abstract
·AIM: To evaluate the efficacy of standard and undercorrected surgical methods in patients with partially accommodative esotropia (PAET).·METHODS: Twenty-five patients with PAET and normal accommodative convergence/accommodation ( AC/A )were divided into two groups for alternate surgical plan including standard method (13 patients) and under-corrected method (12 patients) in a randomized fashion.Standard method is based on measured deviation through full hyperopic correction at distant target and was performed by Parks scheme. Undercorrected method criteria is 20% lower than standard. All patients underwent symmetrical bilateral medial rectus recessions (BMR), and all of them were followed for 6 months.·RESULTS: Six months after operation, surgical success (defined as tropia =s 8A at distant and near fixation through full hyperopic correction) was 46% in standard group and 91% in undercorrected group. Overcorrection were observed 54% in standard group and 9% in undercorrected group (P＜0.05). There was no residual esotropia. There was no correlation between surgical success rate or overcorrection rate and age, mean of preoperative spherical equivalent or preoperative eye deviation.·CONCLUSION: Undercorrected BMR surgery has a lower overcorrection rate and higher surgical success rate than standard surgery in patients with PAET and normal AC/A.关键词
部分调节性内斜视/调节性内斜视/过矫/欠矫Key words
partially accommodative esotropia/ accommodative esotropia/ overcorrection/ undercorrection分类
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Gholamreza Khataminia,Ziaeddin Yazdian,Mohammad Taher Rajabi..传统与欠矫手术治疗部分调节性内斜视的比较[J].国际眼科杂志,2008,8(3):460-462,3.
