CAJ | 학술논문

目的探讨动眼神经不全麻痹所致外上斜视的手术治疗方法及疗效.方法取收治的5例的动眼神经不全麻痹所致外上斜视患者进行回顾性分析,手术方式均采用外直肌移位至下直肌附着点联合内直肌大量缩短,随访观察半年.结果 5例患者眼位均明显改善,第一眼位映光基本正位,内转及下转较前明显改善,外转有轻中度受限.患者均无复视,手术效果满意.结论外直肌移位联合内直肌大量缩短可有效矫正动眼神经不全麻痹所致外上斜视,手术肌肉条数少,无须分次手术,疗效满意.
목적 탐토동안신경불전마비소치외상사시적수술치료방법급료효.방법 취수치적5례적동안신경불전마비소치외상사시환자진행회고성분석,수술방식균채용외직기이위지하직기부착점연합내직기대량축단,수방관찰반년.결과 5례환자안위균명현개선,제일안위영광기본정위,내전급하전교전명현개선,외전유경중도수한.환자균무복시,수술효과만의.결론 외직기이위연합내직기대량축단가유효교정동안신경불전마비소치외상사시,수술기육조수소,무수분차수술,료효만의.
Objective To evaluate the surgical method and effect of exohypertropia caused by ocular nerve paresis.Methods The clinical characters and surgical outcome of 5 exohypertropia patients caused by ocular nerve paresis were analyzed retrospectively.All patients accepted strabismus surgery by transposing lateral rectus to inferior rectus insertion combined with large medial rectus resection.The mean time of follow up was 6 months.Results All patients obtained orthophoria on the primary position.Adduction and subduction of the paretic eye were improved significantly,while abduction of the eye was limited slightly.No diplopia was found.Conclusions Lateral rectus transposition combined with medial rectus resection is effective in treating exohypertropia caused by ocular nerve paresis.