中国实用眼科杂志
中國實用眼科雜誌
중국실용안과잡지
CHINESE JOURNAL OF PRACTICAL OPHTHALMOLOGY
2011年
10期
1067-1069
,共3页
外斜视%集合不足型%内直肌缩短术
外斜視%集閤不足型%內直肌縮短術
외사시%집합불족형%내직기축단술
Exotropia%Convergence insufficiency%Medical rectus resection
目的 探讨小角度集合不足型外斜视的手术方法和疗效.方法 取28例集合不足型外斜视,看远斜视角:正位～-10△,看近斜视角:-15△～ -30△,以看近斜视角为依据行单根内直肌缩短术,定期随访术后眼位.结果 术后正位率,出院时100％,3个月时92.8％,6个月时89.2％,1年时84.2％,2年以后81.8％.术后轻度过矫者,远期发生外斜的比例小且欠矫斜视角度小.结论 单根内直肌缩短术矫正小角度集合不足型外斜视,可能获得满意的效果.
目的 探討小角度集閤不足型外斜視的手術方法和療效.方法 取28例集閤不足型外斜視,看遠斜視角:正位～-10△,看近斜視角:-15△～ -30△,以看近斜視角為依據行單根內直肌縮短術,定期隨訪術後眼位.結果 術後正位率,齣院時100％,3箇月時92.8％,6箇月時89.2％,1年時84.2％,2年以後81.8％.術後輕度過矯者,遠期髮生外斜的比例小且欠矯斜視角度小.結論 單根內直肌縮短術矯正小角度集閤不足型外斜視,可能穫得滿意的效果.
목적 탐토소각도집합불족형외사시적수술방법화료효.방법 취28례집합불족형외사시,간원사시각:정위～-10△,간근사시각:-15△～ -30△,이간근사시각위의거행단근내직기축단술,정기수방술후안위.결과 술후정위솔,출원시100％,3개월시92.8％,6개월시89.2％,1년시84.2％,2년이후81.8％.술후경도과교자,원기발생외사적비례소차흠교사시각도소.결론 단근내직기축단술교정소각도집합불족형외사시,가능획득만의적효과.
Objective To investigate long-time outcome of surgical correction for exotropia of small angle convergence insufficiency pattern by the resection of only one medical rectus.Methods The eye alignment of 28 cases which had been resected only one medical rectus,based on angle at near,were observed regularly.Results The rate of orthotropia were 100％ at discharge,92.8％,89.2％,84.2％,81.8％,at 1 month,3 months,6 months,l year,2 years respectively.The possibility and angle of recurrence were deduced greatly by deliberate overcorrection.Conclusions It can be desirable to resect only one medical rectus to correct small angle exotropia of convergence insufficiency pattern.
