OBJECTIVE To investigate the timing of surgery, surgical volume and methods in the child of partial accommodative esotropia. METHODS One hundred cases of children with partial accommodative esotropia, whose residual squint angle were still there, and the non-regulating part of the squint angle was greater than 10 A after wearing glasses for the treatment of 6 months or more, were randomly divided into treatment and control groups. Fifty cases in each group, the correction of the amount of strabismus surgery was determined by an average squint angle in treatment group, and the correction of the amount of strabismus surgery was determined by squint angle after wearing glasses in control group. RESULTS Corrected in 46 cases (92%) and undercorrection was in 4 cases (8%) in treatment group, and corrected in 30 cases (60%) and undercorrection was in 20 cases (40%) in control group. CONCLUSIONS Children with partial accommodative esotropia should wear a full correction glasses for at least 6 months and then consider surgery. Surgical volume should be determined by the average squint angle.%目的 探讨儿童部分调节性内斜视的手术时机、手术量及方法.方法 部分调节性内斜视儿童患者100例,均为戴镜治疗6个月或以上仍残留斜视角,且非调节部分斜视角大于10△的患者.将其分成2组,治疗组50例以平均斜视角计算矫正斜视手术量,对照组50例以戴镜后斜视角计算矫正斜视手术量.观察治疗效果.结果 治疗组双眼正位46例(92％),欠矫4例(8％).对照组双眼正位30例(60％),欠矫20例(40％).结论 儿童部分调节性内斜视应在戴全矫眼镜6个月以上再考虑手术,手术量应按照平均斜视角确定.
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