Analysis of the effect of visual function training on improving binocular visual function in patients with intermittent exotropia after non-surgical treatment or surgery
视功能训练对非手术治疗或手术后的间歇性外斜视患者改善双眼视功能的效果分析

摘要

目的 分析视功能训练对非手术治疗或手术后的间歇性外斜视患者改善双眼视功能的效果。方法 2023年1月至2025年3月期间收治间歇性外斜视患者，分为非手术组（60例）和手术组（80例）。非手术组中30例仅采用戴镜屈光矫正（非手术对照组），30例采用屈光矫正联合视功能训练（非手术训练组）。在手术组中，40例患者术后仅依赖眼镜进行屈光调整（为手术对照组），另有40例则在术后结合屈光矫正与视觉功能训练（为手术训练组）。我们对比分析了两组患者的视觉功能恢复情况、非手术患者的斜视控制成效以及手术患者的眼位复原状况。结果 治疗后，非手术训练组在斜视控制和视功能方面均优于非手术对照组，手术训练组在眼位回退和视功能方面均优于手术对照组，组间对比P值﹤0.05，可见统计学意义。结论 视觉功能训练对于非手术及手术后的间歇性外斜视患者而言，均能有效增进双眼视觉功能，值得广泛推广。

Abstract

Objective To analyze the effect of visual function training on improving binocular visual function in patients with intermittent exotropia after non-surgical treatment or surgery.
Methods Patients with intermittent exotropia were admitted from January 2023 to March 2025, and were divided into non-operative group (60 cases) and surgical group (80 cases). In the non-surgical group, 30 patients were treated with mirror refractive correction (non-surgical control group), and 30 cases were treated with refractive correction combined with visual function training (non-surgical training group). In the surgical group, 40 patients relied only on glasses for refractive adjustment after surgery (surgical control group), and 40 patients combined refractive correction with visual function training after surgery (surgical training group). We compared the recovery of visual function, the effectiveness of strabismus control in non-surgical patients, and the recovery of eye position in surgical patients between the two groups.
Results After treatment, the non-surgical training group was better than the non-surgical control group in terms of strabismus control and visual function, and the surgical training group was better than the surgical control group in terms of eye position retraction and visual function, and the P value between the groups was <0.05, which showed statistical significance.
Conclusion   Visual function training can effectively improve binocular visual function for patients with intermittent exotropia after surgery and surgery, and is worthy of widespread promotion.