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Clinical study of the influence of preoperative wearing time on postoperative effects in children with partially accommodative esotropia

机译：术前佩戴时间对部分适应性内斜视患儿术后疗效影响的临床研究

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The aim of this study was to evaluate the influence of the preoperative wearing time on the postoperative effect in children with partially accommodative esotropia.Sixty children with partially accommodative esotropia who visited our hospital were placed in full cycloplegic refraction by using 1% Atropine eye gel and then wore full hyperopic correction glasses. Children were divided into groups A and B according to the preoperative wearing time. The visual acuity, eye position, and results of the synoptophore and Titmus stereoacuity tests were recorded before and half a year after the surgery in each group, and appropriate statistical analyses were conducted.Half a year after the operation, 54 cases achieved orthotropia when wearing full hyperopic correction glasses. One case was overcorrected. Five cases were undercorrected. The results of the synoptophore and Titmus stereoacuity test showed that there was no significant difference between postoperative outcomes for patients who wore glasses for half a year and for 1 year before the operation.For children with partially accommodative esotropia, surgery should be used to correct the eye position after wearing full hyperopic correction glasses for half a year to improve the eye position and binocular vision as early as possible. If the operation cannot be completed after the patient wears full hyperopic correction glasses for half a year due to various subjective and objective factors, a good postoperative effect can be obtained if the patients receive surgery after wearing full hyperopic correction glasses for 1 year.
机译：本研究的目的是评估部分适应性内斜视患儿的术前佩戴时间对术后效果的影响。对来我院就诊的60例部分适应性内斜视患儿采用1％阿托品眼药水和然后戴上完整的远视矫正眼镜。根据术前佩戴时间将儿童分为A组和B组。分别于手术前后及术后半年记录视力，眼位，滑膜和视锥度视力检查结果，并进行适当的统计分析。术后半年，有54例戴眼镜时出现矫正充分的远视矫正眼镜。一例被纠正。五例未得到纠正。眼视光和眼球立体视力测试的结果表明，戴半年度眼镜和手术前一年的患者的术后结局无明显差异;对于部分适应性内斜视的儿童，应采用手术矫正戴完整的远视矫正眼镜半年后的眼部位置，以尽早改善眼部位置和双眼视力。如果由于各种主观和客观因素导致患者在戴完整的远视矫正眼镜半年后仍无法完成手术，则如果患者在佩戴完整的远视矫正眼镜一年后接受手术，则可以获得良好的术后效果。

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