[关键词]
[摘要]
目的：分析分离性垂直偏斜(dissociated vertical deviation，DVD)不同治疗方法的疗效。
方法：回顾性分析我院2002-02/2011-08手术和非手术治疗的54例88眼分离性垂直偏斜的治疗效果。
结果：非手术组采用转换注视眼方法治疗后，原注视眼视力无明显下降，现注视眼视力不仅提高而且眼位达到外观美容效果，满意率75%； 手术组近期治疗满意率为81%。两组统计学处理无差异(P>0.05)。
结论：非手术转换注视眼方法可以有效矫正DVD患者的上斜视症状，尤其对于单眼DVD和双眼不对称DVD一侧眼为上斜视、对侧眼为隐性上斜视者效果较好。本方法尤其适用于不愿意接受手术治疗、且合并轻中度弱视和屈光不正的儿童患者。手术要根据患者的视力、斜视度、眼球运动情况及是否合并水平斜视等综合分析考虑，将诸多因素充分考虑于术中，提高一次手术的正位率。
[Key word]
[Abstract]
AIM: To analyze the effect of differerent treatment method for dissociated vertical deviation(DVD).
METHODS: A randomly controlled study was performed on 54 patients: 12 patients in nonsurgical group; 42 patients in surgical group.
RESULTS: In the nonsurgical group, visual acuity of the original fixating eye had no significant decline, and that of the fellow eye improved and had cosmetic effect, the satisfaction rate was 75%. In surgical group, the recent treatment satisfaction rate was 81%.
CONCLUSION: The nonsurgical method converting fixating eye is an effective way to rectify the hypertropia symptom of DVD patients.
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