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目的分析脑瘫患者斜视的特点及手术效果。方法10例,男8例,女2例：年龄最小2岁,最大18岁,平均7岁。先天性外斜视7例,其中A、V征各1例；共同性外斜视2例；先天性内斜视1例。斜视角9例为15°～25°,1例为35°伴随DVD和隐性眼球震颤各3例。轻度远视7例,轻度近视散光1例,高度远视和中度近视各1例。10例都行斜视矫正术,9例用全麻,1例用局麻。结果平均随访2年1个月。7例眼位获正位,2例欠矫5°～10°。1例先天性内斜视术后出现继发性外斜视,经再次手术治愈。多数视力有不同程度提高,1例获同时视。结论本文多数病例具有先天性外斜视的特点,手术治疗效果较好；同时强调在斜视诊疗上要重视全身因素。
Objective To analyze the characteristics and surgical effects of strabismus in cerebral palsy patients. Methods 10 cases, 8 males and 2 females: the youngest 2 years old, the largest 18 years old, average 7 years old. 7 cases of congenital exotropia, of which A, V signs in 1 case; common exotropia in 2 cases; congenital esotropia in 1 case. 9 cases of oblique angle 15 ° ~ 25 °, 1 case of 35 ° with DVD and 3 cases of recessive nystagmus. 7 cases of mild hyperopia, 1 case of mild myopic astigmatism, 1 case of high myopia and moderate myopia. 10 cases were strabismus surgery, 9 cases with general anesthesia, 1 case with local anesthesia. Results The average follow-up of 2 years and 1 month. 7 cases of eye position was correct, 2 cases of undercorrection 5 ° ~ 10 °. A case of congenital esotropia secondary to secondary exotropia, cured by reoperation. Most eyesight improved to varying degrees, 1 case was the same time. Conclusion Most cases of this article have the characteristics of congenital exotropia, surgical treatment is better; also stressed that in the diagnosis and treatment of strabismus should pay attention to systemic factors.