:A型斜视的临床特征分析牟海燕,赵堪兴,张伟,郭新,马惠芝,陈霞,朱丽娜短篇论著·【摘要】目的探讨A型斜视的临床特点。方法选取87例A型斜视患者,回顾性总结和分析其发病年龄、病程、术前远近斜视度、A征程度、眼球运动功能和双眼视功能。结果A型斜视占同期斜视住院患者总数的1.94%,占A—V综合征的24.14%。其中A型内斜视20例(22.99%),发病年龄(1.9±1.6)岁、病程(¨.0±7.8)年、术前视远斜视度(51±28)、视近斜视度(54±25)、A征程度(25±14)。眼球运动功能:上斜肌亢进者17眼(42.50%)。双眼视功能:同时视2例(10%);周边立体视1例(5%),无立体视19例(95%)。A型外斜视67例(77.01%),发病年龄(4.3±4.9)岁、病程(12.9±l1.0)年、术前视远斜视度(56±28)、视近斜视度(61±30)、A征程度(20±9)。眼球运动功能:上斜肌亢进者69眼(51.49%)。双眼视功能:同时视31例(46.27%);黄斑立体视l0例(14.93%),周边立体视7例(10.45%),中心凹立体视5例(7.46%),无立体视45例(67.16%)。两组患者发病年龄、双眼视功能差异有统计学意义(P<0.05),手术年龄、病程、视远斜视度、视近斜视度、A征程度差异无统计学意义(P>0.05)。结论A型内斜视发病年龄早,双眼视功能破坏重;A型外斜视发病较晚,双眼视功能破坏轻。A型斜视与上斜肌亢进有关。【关键词】内斜视;外斜视;发病年龄【中图分类号】R777.41【文献标识码】B【文章编号】1007—9572(2010)06—1901—03ClinicalFeaturesof”A”PatternStrabismusMUHai—yan,ZHAOKan—xing,ZHANGWei,eta1.ClinicalCollegeofOphthalmology,TianjinMedicalUniversity,TianjinEyeHospital,TianjinEyeInstitute,Tianfin300020,China【Abstract】ObjectiveToinvestigatetheclinicalfeaturesof”A”PatternStrabismus.Methods87inpatientswith”A”PatternStrabismuswereexaminedandanalyzed.Ageatonsetofdeviation.intervalbetweenonsetandsurgery,Pre—opera-tivedeviation(nearanddistance),versions,rangeofApattern,binocularfunctionobservedseperately.Results20/87(22.99%)withA—patternEsotropia.Ageatonsetofdeviation(1.9±1.6),intervalbetweenonsetandsurgery(11.0±7.8),Pre—operativedeviation(near)(54±25)and(51±28),rangeofApattern(25±14).Versions:17/20(42.5%)withsuperiorobliquemuscleoveraction.Binocularfunction:binocularvision2/20(10%),1cases(5%)withpe-ripheralstereopsis.While,67/87(77.01%)withA—patternExotropia,Ageatonsetofdeviation(4.3±4.9),intervalbe’tweenonsetandsurgery(12.9±11.0),Pre—operativedeviation(61±30)and(56±28),rangeofApattern(20±9).Versions:69cases(51.49%)withsuperiorobliquemuscleoveraction。Binocularfunction:binocularvision31/67(46.27%),5/67(7.46%)withovealstereopsis,10/67(14.93%)withmacularstereopsis,7/67(10.45%)withpe。ripheralstereopsis,45/67(67.16%)shortofstereopsis.Ageatonsetofdeviation,binocularfunctionhavestatisticallydiffer-entbetweenEsotropiaandExotropia,Ageatsurgery,Ageatonsetofdeviation,intervalbetweenonsetandsurgery,Pre—oper-ativedeviation(nearanddistance),rangeofApatten*,Versionshavenotstatisticallydifferent.ConclusionAgeatonsetofdeviationareearlierinEsotropiathaninExotropia,binocularfunctionareworseinEsotropia.”A”PatternStrabismusisassoci-atedwithsuperiorobliquemusc]eoveraction.【Keywords】Esotropia;Exotropia;Ageofonset作者单位:300020天津市,天津医科大学眼科临床学院,天津市眼科医院,天津市眼科研究所通讯作者:赵堪兴,300020天津市,天津医科大学眼科临床学院,天津市眼科医院,天津市眼科研究所;E—mail:ZKX@tijmu.edu.cnA—V综合征是一种特殊类型的水平斜视,表现为水平斜视同时伴有垂直方向的非共同性。A型外斜视表示患者向下注视时斜视度比向上...