摘要
间歇性外斜视(IXT)是斜视角度变化较大常伴不同程度立体视功能损害的临床常见眼病。目前,其诊断治疗过程中还存在诸多问题尚有争议。正确认识此病的发展与转归,采用高效的诊断流程并选择适宜的治疗方法对IXT患者维持视功能,改善其生活质量并减少复发具有临床价值。当前,IXT对患者立体视功能的损害与重建、与近视眼发生及发展的交互作用机制、观察随访治疗的综合运用以及借助人工智能的新型诊疗方法等已成为IXT研究的新型热点问题。本文中笔者就这些新型热点问题的研究进展进行综述,以期为临床诊断与治疗提供参考。
Abstract
Intermittent exotropia (IXT) is a common clinical eye disease with large changes in strabismus angle and different degrees of stereopsis impairment. There are still many problems in its diagnosis and treatment. Correct understanding of the development and prognosis of the disease, selection of reasonable treatment methods, timely visual training, and improvement of diagnostic efficiency are all crucial to improving the quality of life and reducing recurrence for patients with IXT. The damage and reconstruction of stereoscopic function, the interaction with myopia, the integrated application of observation and follow-up treatment, and artificial intelligence diagnosis and treatment are new hot issues in the current IXT research. The research progress of these issuses were reviewed in this paper, aiming to provide the reference for diagnosis and treatment of IXT.