从上述结果可以发现,内斜视的发生及斜视矫正的满意度与屈光参差及其程度有一定的关系。Swan[9]报道调节性内斜视患儿合并双眼视功能较差者,与双眼视功能较好的同类患者比较,前者最终需要手术矫正斜视的可能性明显增加;调节性内斜视的恶化与内斜视发生的时间及就诊时间早晚有关[10],持续的内斜视也会使本来可用眼镜矫正的调节性内斜视变为戴镜不能矫正,因此建议早期诊断早期治疗。Wilson等[11]研究认为,持续的内斜视多需要进行手术矫正,他指出在这类患者中,弱视更易发生在单眼注视患者中。由此可见,双眼视功能欠佳可能与调节性内斜视眼镜矫正无效有关。因此推论,屈光参差引起内斜视眼镜矫正不满意的原因可能是屈光参差引起弱视,打破双眼融合功能,影响了双眼视功能。因此,屈光参差合并内斜视时,应及早矫正屈光不正,治疗弱视,保护或重建双眼视功能。
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