CAJ | 학술논문

目的观察水平斜视及垂直斜视术后屈光状态变化及不同术式对屈光状态的影响.方法通过睫状肌麻痹验光和角膜地形图检查,对40例水平斜视及42例垂直斜视患者术前、术后1、4、8周的屈光状态动态分析.结果下斜肌转位组术后球镜及柱镜变化均无统计学意义,P ＞0.05.单眼一条直肌后徙组睫状肌麻痹后柱镜变化术后1周与术前比较有统计学意义(P＜0.05).单眼一退一截组睫状肌麻痹后球镜变化在1周与术前比较有统计学意义(P＜0.05),柱镜变化及角膜地形图dk值变化术后1、4周均与术前比较差异有统计学意义(P＜0.05).角膜地形图曲率变化:后徙侧角膜3 mm、5 mm区角膜曲率增大,而截除侧变小,术后1、4周与术前比较差异有统计学意义,(P＜0.05).结论不同术式对眼球屈光状态影响持续时间不同,但均可恢复.
목적 관찰수평사시급수직사시술후굴광상태변화급불동술식대굴광상태적영향.방법 통과첩상기마비험광화각막지형도검사,대40례수평사시급42례수직사시환자술전、술후1、4、8주적굴광상태동태분석.결과 하사기전위조술후구경급주경변화균무통계학의의,P ＞0.05.단안일조직기후사조첩상기마비후주경변화술후1주여술전비교유통계학의의(P＜0.05).단안일퇴일절조첩상기마비후구경변화재1주여술전비교유통계학의의(P＜0.05),주경변화급각막지형도dk치변화술후1、4주균여술전비교차이유통계학의의(P＜0.05).각막지형도곡솔변화:후사측각막3 mm、5 mm구각막곡솔증대,이절제측변소,술후1、4주여술전비교차이유통계학의의,(P＜0.05).결론 불동술식대안구굴광상태영향지속시간불동,단균가회복.
Objective To observe refractive changes after strabismus surgery and the effect of different surgical procedures on refraction. Methods The refractive status of 40 cases with horizon strabismus and 42 cases with vertical strabismus were examined at the time of before operation and the 1,4,8 weeks after operation,by cycloplegia refraction and examination of corneal topography.Results Sph and astigmatism changes had no statistical significance in the inferior obliquus transposition group,P ＞0.05.Astigmatism changes which compare with before operation had statistical significance in the rectus muscle recession group 1 week after operation.Compared with before operation,aph changes had statistical significance in one rectus muscle recession and the other resection group 1 weeks after operation (P ＜0.05) and astigmatism and dk changes had statistical significance 1 and 4 weeks after operation (P ＜0.05).Corneal topography results:corneal curvature of 3-5mm district steep in the recession side and flat in the resection side,and the changes had statistical significance 1-4 weeks after operation (P ＜0.05). Conclusions Refractive changes will be recovery in different time according to different operation methods.