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首页> 外文期刊>American Orthoptic Journal >Conservative Management of Intermittent Distance Exotropia: A Review
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Conservative Management of Intermittent Distance Exotropia: A Review

机译：间歇性远视眼的保守治疗：综述。

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Background and Purpose: Intermittent distance exotropia is difficult to conservatively manage, with techniques varying widely between institutions. This review aims to examine current literature on conservative management for intermittent distance exotropia, investigate its impact upon current clinical practice, and identify areas for further research.Method: A literature search was performed using PubMed, Web of Knowledge, LILACS, and the University of Liverpool Orthoptic Journals and Conference Transactions Database. All English-language papers published between 1950 and the present day were considered.Results: Intermittent distance exotropia is a difficult condition to manage because of its variability /uncertain natural history, although control scores can facilitate management decisions. Research is required to establish recommended dosages for antisuppression occlusion and determine whether other treatments such as minus lenses are more effective. Use of orthoptic exercises has declined, but recently certain exercises have been shown to improve surgical outcomes if applied preoperatively. Prisms are mainly used postoperatively. Minus lens therapy is recommended as a first line treatment, but may not always be successful.Conclusion: Conservative management techniques for intermittent distance exotropia have their place as both an alternative and an adjunct to surgery. However, further research needs to be conducted to determine which techniques are appropriate for which patients.
机译：背景与目的：间歇性远距离内视很难保守地处理，各机构之间的技术差异很大。这篇综述的目的是检查有关间歇性外斜视保守治疗的最新文献，研究其对当前临床实践的影响，并确定需要进一步研究的领域。方法：使用PubMed，Web of Knowledge，LILACS和University of University进行文献检索。利物浦矫正期刊和会议交易数据库。结果：1950年至今的所有英语论文都被考虑在内。结果：间歇性外斜视是一种难以控制的疾病，因为它的变异性/不确定的自然历史，尽管控制得分可以促进管理决策。需要进行研究以确定抗抑制闭塞的推荐剂量，并确定其他治疗方法（例如负透镜）是否更有效。矫正运动的使用有所减少，但近来已显示某些术前手术可以改善手术效果。棱镜主要用于术后。建议减负晶状体治疗作为一线治疗，但可能并不总是成功。结论：间歇性外斜视的保守管理技术可以替代手术，也可以作为手术的辅助手段。但是，需要进行进一步的研究以确定哪种技术适合于哪些患者。

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