摘要目的 探讨压贴三棱镜在儿童共同性内斜视中的应用效果.方法 对40例共同性内斜儿童进行了Fresnel压贴三棱镜验配,其中屈光性调节性内斜视16例,部分调节性内斜视11例,连性内斜视5例,微小角度性内斜视8例；根据有无弱视决定压贴眼别,根据斜视度数决定压贴度数带镜后每2个月复查一次；共观察3～6个月；结果 压贴三棱镜后3～6个月,视力增加18例,不变例,降低10例；斜视增加10例,不变15例,降低15例；双眼视功能恢复者32例(同视机)；手术功率86.6％；结论 对儿童共同性内斜视病例配戴压贴三棱镜有利于视力及双眼视功能改善,并提高术成功率.

abstractsObjective To investigate the effect of Fresnel press-on prism for concomitant esotropia in children. Methods Forty children with concomitant esotropia were included,among them,16cases of refractive accommodative esotropia,11 of part accommodative esotropia,5 of secondary esotropia,8 of mini angle of esotropia.Press-on prism prescripted in one eye according to the amblyopia and strabismus deviation for 3-6 months. Results After 3-6 months of press-on prism,vision increasd in 18 cases,unchanged in 12 cases,decreased in 10 cases; esotropic deviation increased in 10 cases,unchanged in 15 cases,decreased in 15 cases; binocular vision improvd in 32 cases measured with synoptophore. Conclusions Press-on prism may be helpful for binocular vision recovery in concomitant esotropia,so as improve the surgical success rate.