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內聚不全及調節力不足之手術治療-病例報告

Surgical Therapy for Accommodative and Convergence Insufficiency-A Case Report

摘要


本篇報告一例,罹患內聚不全及調節力不足的病人,經過2個月的正視訓練(orthoptic therapy),視力矯正,症狀都沒有緩解。在接受單側內直肌切除術後,症狀戲劇性的改善之病例。

關鍵字

無資料

並列摘要


Convergence insufficiency is one of the most common ocular problems. Orthoptic treatment of convergence insufficiency has been extremely successful in most cases. However, there is a small group of patients whose symptoms do not respond to orthoptics, glasses, prisms, tranquilizers, drugs or any form of medical ophthalmic therapy. In this series of patients, the following organic conditions played a role: (a) Accommodative insufficiency (b) Defective fusion (c) Defective accommodative and vergence mechanisms. The paper emphasized the importance of measuring the near point of accommodation in all patients with convergence insufficiency to identify those cases with accommodative weakness in whom orthoptic therapy must be considered a waste of time and effort. To enhance action of the medial rectus muscles is the only recource of treatment.

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