关键词: 部分调节性内斜视/外科学, 调整缝线

Abstract: Objective To evaluate the use of adjustable suture for the surgical treatment of children with partially accommodative esotropia and treatment before surgery.  Design Retrospective cases series. Participants Thirty patients with of partially accommodative esotropia that underwent surgical treatment at Beijing Children’s Hospital. Methods The clinical data of patients with partially accommodative esotropia that underwent surgery were reviewed retrospectively. When residue esotropia was stable and amblyopia had been managed, patients should have surgery in time. Surgery was performed according to the average deviation with and without refractive correction. Adjustable suture were used. Patients were followed-up for 6 to 15 months. Strabismus and binocular vision were observed. Main Outcome Measures Deviation after surgery, binocular vision function, the use of adjustable suture after surgery. Results Three patients were adjusted for overcorrection after surgery. At the last follow-up, 26 cases (87%) were within orthotropia-+8△, 4 cases (13%) were within +10△~+15△ at the last follow-up. Two cases among 19 cases (11%) had binocular vision before surgery. Fifteen cases among of 21 cases (71%) had binocular vision at the last follow-up. Conclusion Partially accommodative esotropia should be prescriptde full hyperopic correction. Patients should be treated by surgery in time when residue esotropia was stable and management of amblyopia. Strabismus surgery depend on the average of the size of deviation of with and without glasses. Adjustable suture use in strabismus surgery was conducive for eye alignment.  (Ophthalmol CHN, 2013, 22: 121-123)

Key words:  partially accommodative esotropia/surgery, adjustable suture