【摘要】：目的探究伴發(fā)下斜肌功能亢進對其主導眼選擇及屈光發(fā)育的影響。方法病例回顧研究。選取2012年至2015年于我院斜視與兒童眼病中心行斜視治療的伴下斜肌功能亢進患者117例為研究對象,分為單眼先天性上斜肌麻痹伴發(fā)下斜肌功能亢進組,外斜視伴發(fā)單眼或雙眼的原發(fā)下斜肌功能亢進組以及內斜視伴發(fā)單眼或雙眼的原發(fā)下斜肌功能亢進組。非參數(shù)檢驗分別比較各組中主導眼與非主導眼下斜肌功能亢進程度;配對t檢驗分別比較下斜肌功能亢進眼(或雙眼亢進中較重眼)與對側眼等效球鏡度數(shù)。結果單眼先天性上斜肌麻痹伴發(fā)下斜肌功能亢進組與外斜視伴發(fā)單眼或雙眼的原發(fā)下斜肌功能亢進組,主導眼的下斜肌功能亢進程度總和分別為5和52,均較對側眼的94和81輕(均為P0.05);內斜視伴發(fā)單眼或雙眼的原發(fā)下斜肌功能亢進組主導眼與非主導眼下斜肌功能亢進程度總和分別為15和26,差異無統(tǒng)計學意義(P=0.056)。各組下斜肌功能亢進眼與對側眼等效球鏡度數(shù)間差異均無統(tǒng)計學意義(均為P0.05)。結論下斜肌功能亢進程度較重眼多不被選擇用于主導眼;下斜肌功能亢進對于屈光發(fā)育無明顯影響。
[Abstract]:Objective to investigate the effect of hyperfunction of inferior oblique muscle on the selection of dominant eyes and refractive development. Methods the case study was reviewed. From 2012 to 2015, 117 patients with hyperfunction of inferior oblique muscle were treated with strabismus in strabismus and children's ophthalmopathy center in our hospital. They were divided into three groups: monocular congenital superior oblique paralysis with inferior oblique hyperfunction, exotropia with monocular or binocular primary inferior oblique hyperfunction group and esotropia with monocular or binocular primary inferior oblique hyperfunction group. The degree of hyperfunction of oblique muscle in dominant eye and non-dominant oblique muscle in each group was compared by nonparametric test, and the equivalent spherical degree of inferior oblique hyperfunctional eye (or severe eye in binocular hyperactivity) and contralateral eye were compared by matched t test. Results the total degree of inferior oblique muscle hyperfunction in monocular congenital superior oblique muscle paralysis with inferior oblique hyperfunction group and exotropia with monocular or binocular primary inferior oblique muscle hyperfunction group were 5 and 52 respectively, which were lighter than those in contralateral eye 94 and 81 (both P 0.05), and the total degree of inferior oblique hyperfunction in the leading eye was 5 and 52, respectively, which was lighter than that in the contralateral eye (P 0.05). In esotropia with monocular or binocular primary inferior oblique hyperfunction, the sum of dominant and non-dominant oblique hyperfunction was 15 and 26, respectively, with no significant difference (P 鈮，

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