Faden术在矫正非屈光调节性内斜视中作用分析张伟赵堪兴目的探讨Faden术在非屈光调节性内斜视矫正中的作用。方法取12例非屈光调节性内斜视,AC/A值＞7,远近斜视角相差在15△以上,根据斜视度行双内直肌Faden术或双内直肌后退联合Faden术。结果术后10例患者视远和视近时基本正位,1例视近仍残余＜+15△内斜视,l例视远过矫。结论Faden术可有效矫正非屈光调节性内斜视的斜度。Faden术；非屈光调节性内斜视ThestudyonFadenprocedurefortreatmentofnonrefractiveaccommodativeesotropiaZHANGWeiZHAOKan-xingTianjinEyeHospital,Tianjin300020,ChinaObjectiveToevaluatetheFadenprocedurefortreatmentofnonrefractiveaccommodativeesotropia.MethodsTwelvecasesofnonrefractiveaccommodativeesotropiawithhighAC/Aration(＞7)wereinvestigated.Theesodeviationdifferencebetweennearanddistancewasmorethan15prismdiopters.AllcasesweretreatedwithbothmedialrectusFadenprocedureorbothmedialrectusrecessioncombinedwithFadenprocedure.ResultsTenpatientswerealignmenteitheratnearorinthedistanceaftersurgery,1patientwasstill14prismdioptersesodeviationatnear,and1patientwasalittleoveractioninthedistance.ConclusionsTheFadenprocedureisaneffectivemethodfornonrefractiveaccommodativeesotropia.Fadenprocedure;Nonrefractiveaccommodativeesotropia10.3760/cma.j.issn.1006-4443.2011.10.019300020天津,天津市眼科医院万方数据·1065·万方数据·1066·万方数据@@1.NoordenGKvon,CamposEC.Binocularvisionandocularmotility[M].St.Louis:Mosby,2002:318.@@2.牛兰俊.斜视新概念[M].北京医科大学中国协和医科大学联合出版社,1995：120.@@3.麦光焕.现代斜视治疗学[M].人民军医出版社,1999:32.@@4.CueppersC:Theso-called“Fadenoperation"(surgicalcorrectionbywelldefinedchangesinthearcofcontact).InFellsP,ed:SecondcongressofthelinternationalStrabismologicalAssociation[M].MarseillesDiffusionGeneraldeLibrairie,1976:395-400.@@5.NoordenGKyon.Posteriorfixationsutureinstrabismussurgery.In:HelvestonEM,JamposkyA,KnappP,etal,eds.Symposiumstrabismus.TransactionsoftheNewOrleansAcademyofOphthalmology[M]St.Louis:Mosby,1978:307-320.@@6.GharabaghiD,ZanjaniLK.Comparísonofresultsofmedialrectusmusclerecessionusingaugmentation,Fadenprocedure,andslantedrecessioninthetreatmentofhighaccommodativeconvergence/accommodationratioesotropia[J]JPediatrOphthalmolStrabismus,2006,43(2):91-94.@@7.SpragueJB,McoreS,EggersH,et'al.Dissociatedverticaldeviation.TreatmentwiththefadenoperationofCueppers[J].ArchOphthalmol,1980,98(3):465-468.@@8.HappeW,SuleimanY.Earlyandlateoccuringconsecutiveexotropiafollowingamedialrectusfadenoperation[J]KlinMonatsblAugenheilkd,1998,212(5):291-293.2010-12-01小角度集合不足型外斜视的手术治疗朱德海李璀胜目的探讨小角度集合不足型外斜视的手术方法和疗效。方法取28例集合不足型外斜视,看远斜视角：正位～-10△,看近斜视角：-15△～-30△,以看近斜视角为依据行单根内直肌缩短术,定期随访术后眼位。结果术后正位率,出院时100％,3个月时92.8％,6个月时89.2％,1年时84.2％,2年以后81.8％。术后轻度过矫者,远期发生外斜的比例小且欠矫斜视角度小。结论单根内直肌缩短术矫正小角度集合不足型外斜视,可能获得满意的效果。外斜视；集合不足型；内直肌缩短术SurgicalcorrectionforexotropiaofconvergenceinsufficiencypatternbytheresectionofonlyonemedicalrectusZHUDe-haiLICui-shengDepartmentofPediatricOphthalmology,FirstHospitalofPekingUniversity,Beijing100034,China;DepartmentofOphthalmology,ShengliHospitalofShengliOilField,Dongying257005,ChinaObjectiveToinvestigatelong-timeoutcomeofsurgicalcorrectionforexotropiaofsmallangleconvergenceinsufficiencypatternbytheresectionofonlyonemedicalrectus.MethodsTheeyealignmentof28caseswhichhadbeenresectedonlyonemedicalrectus,basedonangleatnear,wereobservedregularly.ResultsTherateoforthotropiawere100％atdischarge,92.8％,89.2％,84.2％,81.8％,at1month,3months,6months,lyear,2yearsrespectively.Thepossibilityandangleofrecurrencewerededucedgreatlybydeliberateovercorrection.ConclusionsItcanbedesirabletoresectonlyonemedicalrectustocorrectsmallangleexotropiaofconvergenceinsufficiencypattern.Exotropia;Convergenceinsufficiency;Medicalrectusresection10.3760/cma.j.issn.1006-4443.2011.10.0100034北京,北京大学第一医院小儿眼科(朱德海)257055东营,山东东营胜利油田胜利医院眼科(李璀胜)万方数据
