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| Effect of horizontal muscle strengthening and weakening combined with inferior oblique muscle weakening in treatment of children with strabismus |
| SHAN Fei WANG Li-juan YANG Qing ZUO Xing |
| Department of Ophthalmology,Gao′an People′s Hospital |
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Abstract Objective To explore the clinical effect of combined treatment of weakening of strengthening and horizontal muscles and weakening of oblique muscles treating children with strabismus.Methods A retrospective analysis of 60 children with strabismus admitted to Gao′an People′s Hospital,Jiangxi Province from January 2018 to January 2019,with 92 affected eyes,they were divided into control group (30 patients received horizontal muscle strengthening and weakening surgery,42 eyes) and research group (30 cases received horizontal muscle strengthening and weakening combined with oblique muscle weakening,50 eyes) according to the treatment method.The total treatment efficiency,strabismus degree,and intraoperative blood loss,recovery time,vision recovery time,and complications were compared between two groups.Results The total effective rate of treatment in the research group was 93.33%,higher than that in the control group of 70.00%,the difference was statistically significant (P＜0.05);before treatment,the difference in strabismus between the two groups was not statistically significant (P＞0.05).The strabismus degree of the research group after 1,3 and 6 months after operation was lower than that of the control group,the difference was statistically significant (P＜0.05);the comparison of the operation time between the two groups was not statistically significant (P＞0.05);the intraoperative blood loss in the research group was less than that in the control group,the difference was statistically significant (P＜0.05),the recovery time and the vision recovery time in the research group were shorter than those of the control group,the differences were statistically significant (P＜0.05).The total incidence of complications between the two groups was not statistically significant (P＞0.05).Conclusion Clinical treatment of children with strabismus may be given horizontal muscle strengthening and weakening combined with inferior oblique muscle weakening.The effect is outstanding,which can significantly improve the ocular surface symptoms and ocular surface index,shorten the postoperative recovery time,high safety,and then improve their life quality.
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