CAJ | 학술논문

目的观察分析先天性特发性水平眼球震颤的手术治疗效果.方法收集自2009年1月至2011年1月先天性冲动型眼球震颤伴斜视病例21例,既往无眼外伤史和眼部手术史,男15例,女6例,年龄8～25岁.手术方法采用Parks法联合斜视矫正术.结果 21例患者术后原在位双眼同时视视力均提高2行或2行以上；18例患者头位面转角完全矫正,3例存在15°以内的面转角,其中2例欠矫,1例过矫.19例眼位正位,1例欠矫,1例过矫.结论对于伴有头位和斜视先天性水平性冲动型眼球震颤患者,手术治疗是首选,可以有效地提高视力,改善头位,同时矫正斜视.
목적 관찰분석선천성특발성수평안구진전적수술치료효과.방법 수집자2009년1월지2011년1월선천성충동형안구진전반사시병례21례,기왕무안외상사화안부수술사,남15례,녀6례,년령8～25세.수술방법채용Parks법연합사시교정술.결과 21례환자술후원재위쌍안동시시시력균제고2행혹2행이상；18례환자두위면전각완전교정,3례존재15°이내적면전각,기중2례흠교,1례과교.19례안위정위,1례흠교,1례과교.결론 대우반유두위화사시선천성수평성충동형안구진전환자,수술치료시수선,가이유효지제고시력,개선두위,동시교정사시.
Objective To evaluate and analyze the effect of surgery of idiopathic congenital nystagmus patients with horizontal deviation. Methods A retrospective study of 21 congenital nystagmus patients with horizontal deviation was reviewed.Male were 15 cases,female were 6 cases,and age was from 5 to 25 years old.Parks method combined with Squint correction was performed.Results Visual acuity were improved more than 2 lines than before in all cases.The compensatory head posture in 18 patients was disappeared and improvement was seen in 3 patients.The horizontal deviation in 19 patients was disappeared and improvement was seen in 2 cases.No complications were present in all patients. Conclusions The operation correction of genital nystagmu can not only improve visual acuity,but also correct compensatory head posture and strabismus.