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目的 :探讨后天性外旋转斜视的临床特点及治疗方法。方法 :回顾分析 2 1例后天性外旋转斜视病例。结果 :本组病例的临床特点为 :1有明确的外伤病史 ;2患者有极明显的下半视野复视 ;3双马德氏三棱镜检查阳性 ;4双马德氏杆检查为外旋转斜视。本组病例中有 4例经保守治疗后仍有眼位偏斜而行手术治疗 ,手术方法采用 Harada- Ito术式或改良的Harada- Ito术式 ,4例手术病人术后均外旋斜消失 ,有立体视觉存在。结论 :当外伤或其他病史所致患者有明显的下半视野复视时 ,要注意外旋斜视的诊断 ,外旋斜视保守治疗无效时应手术治疗。
Objective: To investigate the clinical features and treatment of acquired rotational strabismus. Methods: A retrospective analysis of 21 cases of acquired epiretinal cases. Results: The clinical features of this group of patients were as follows: 1 had a clear history of trauma; 2 patients had a very clear view of the lower half of the field of vision; 3 double-Madrille prism examination positive; 4 double-Martens pole examination of the external rotation strabismus. In this group of patients there are 4 cases of conservative treatment of eye position deviation after surgical treatment, surgical methods using Harada-Ito operation or modified Harada-Ito operation, 4 cases of surgical patients were outside after the rotation deviation disappeared , There is stereo vision there. Conclusion: When traumatic or other medical history of patients with obvious lower half-field diplopia, we should pay attention to the diagnosis of exotropia, external rotation of the conservative treatment of surgery should be ineffective surgical treatment.