Abstract
Strabismus is a common ophthalmic disease in the process of child body development, in which the two eyes cannot gaze at the target at the same time, and the incidence of this disease of children is higher. In children with esotropia, exotropia, and up and down strabismus and other typical symptoms, the cause is genetic, innerve, and refractive and regulated, and not receiving timely treatment may lead to stereo vision and diplopia and other phenomena, affecting their learning and life. Surgical treatment is the main treatment for strabismus at present. Traditional orthodontic surgery is performed by doctors under the naked eye, often due to improper operation or suture error and other factors, resulting in more postoperative complications, such as more tissue damage, conjunctival congestion, and muscle suture reaction, which seriously affect the clinical effect of surgical treatment. In recent years, with the continuous development of microsurgical technology, the correction of strabismus under a microscope has been widely carried out in clinic. The operation under the microscope makes the operation more delicate and accurate, overcomes the defects of traditional surgery, and highlights the advantages of minimally invasive surgery. The purpose of this study was to investigate the effect of microsurgical techniques in the treatment of strabismus in children and to analyze the factors influencing the outcome. The results showed that microsurgical strabismus correction in the treatment of strabismus children has short operation time, less intraoperative blood loss, short hospital stay, high efficiency, and less complications, which is worthy of popularization. Age, preoperative strabismus angle, refractive error, distance stereopsis injury, near stereoscopic injury, and duration of disease were all independent influencing factors of postoperative efficacy.
Highlights
Strabismus refers to the inability of both the eyes to look at the target at the same time, which is an extraocular muscle disease and can be divided into two categories: concomitant strabismus and paralytic strabismus [1, 2]
It is reported that microsurgical treatment for children with strabismus changes the appearance of strabismus and achieves the cosmetic effect and heals quickly and has fewer complications, improving the quality of ophthalmic technology [11, 12]. e purpose of this study is to explore the curative effect of the microsurgical technique on strabismus in children and to analyze the related factors affecting the curative effect of children
The patient can get the ideal first eye position, change the strabismus appearance, achieve the cosmetic effect, and further improve the quality of life. e strabismus correction surgery requires the operator to be familiar with the relevant anatomical knowledge of the eyeball
Summary
Strabismus refers to the inability of both the eyes to look at the target at the same time, which is an extraocular muscle disease and can be divided into two categories: concomitant strabismus and paralytic strabismus [1, 2]. Paralytic strabismus is characterized by limited eye movement and diplopia, which can be congenital or caused by trauma or systemic diseases [3, 4]. Successful surgical correction of children’s eye position can prevent the deepening of retinal inhibition scotoma, improving the binocular monocular function of children with strabismus [7, 8]. Strabismus correction operations were mostly carried out under direct vision, which can achieve good results, but it is easy to cause damage to surrounding tissues, with more bleeding and more postoperative complications. It is reported that microsurgical treatment for children with strabismus changes the appearance of strabismus and achieves the cosmetic effect and heals quickly and has fewer complications, improving the quality of ophthalmic technology [11, 12].
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