成人共同性斜视术后双眼融合功能训练对术后眼位及三级视功能的影响

摘要

Objective To study the effect of binocular vision function training for fusion in the eye position and three levels of eye function in adult patients after concomitant strabismus surgery. Methods 56 cases with postoperative concomitant strabismus were randomly divided into training group and control group . In the training group, patients were trained with software to enhance the fusion. After training for 7, 30, 180 and 365 days, the eye position, the fusion and the stereoesthesia were observed and analyzed. Results After training for 365 days, the deteriorative ratio in the training group is 3%, which is significantly lower than control group (23%)(P<0.05). The correction ratio in eye position is 20%, which is significantly higher than control group (4%)(P<0.05). The recovery ratio in binocular vision function is 53%, which is significantly higher than control group (15%)(P<0.05). The recovery ratio in stereaeuity is 46%, which is significantly higher than control group (11%)(P<0.05). Conclusions Fusion training can enhance the recovery of fusion and stereaeuity, decrease the deteriorative ratio, and correct the eye position after surgery in concomitant strabismus patients.%目的：探讨融合功能训练对斜视术后患者双眼眼位及三级视功能的影响。方法：对56例成人共同性斜视术后患者，随机分为治疗组和对照组进行观察，治疗组30例应用融合功能训练软件进行融合功能训练，观察术后7、30、180、365 d的斜视度、融合功能、立体视并比较分析。结果：治疗组与对照组在术后365 d比较，治疗组眼位回退率为3％，明显低于对照组的23％（P＜0．05）；治疗组眼位矫正率为20％，明显高于对照组的4％（P＜0．05）；治疗组融合功能恢复率达53％，高于对照组的15％（P＜0．05）；立体视觉功能恢复率达46％，明显高于对照组的11％（P＜0．05），差异有统计学意义。结论：对斜视术后的患者进行融合功能训练能矫正眼位，减少眼位回退率，提高融合功能和立体视觉的恢复。