CAJ | 학술논문

目的探讨分离性垂直斜视(DVD)患儿术后远期效果.方法回顾性分析2008年2月至2012年4月在南昌大学第二附属医院儿童眼科住院手术的分离性垂直斜视患儿36例(66只眼),其中30例双眼DVD,6例单眼DVD.24例伴有上斜视,8例伴有内斜视,4例伴有外斜视,均合并不同程度的下斜肌功能亢进.33例行单纯下斜肌转位术,3例行下斜肌转位术联合上直肌后徙术.12例合并水平斜视者,其中10例行一期手术,2例行二期手术.观察术后1年的眼位、下斜肌功能、代偿头位、睑裂、眼球运动、同视功能及并发症情况.结果术后1年29例(80.56％,29/36)患儿术后下斜肌亢进消失,恢复满意,7例(19.44％,7/36)改善;25例(69.44％,25/36)恢复双眼单视功能,其中19例(76％,19/25)恢复同时视功能,4例(16％,4/25)恢复融合功能,2例(8％,2/25)恢复立体视.结论手术是治疗分离性垂直斜视的常用方法,下斜肌转位术后眼球上转受限和睑裂变化不明显,且能纠正10～35△的垂直斜视,是治疗伴有下斜肌功能亢进分离性垂直斜视的较佳方法.
목적 탐토분리성수직사시(DVD)환인술후원기효과.방법 회고성분석2008년2월지2012년4월재남창대학제이부속의원인동안과주원수술적분리성수직사시환인36례(66지안),기중30례쌍안DVD,6례단안DVD.24례반유상사시,8례반유내사시,4례반유외사시,균합병불동정도적하사기공능항진.33례행단순하사기전위술,3례행하사기전위술연합상직기후사술.12례합병수평사시자,기중10례행일기수술,2례행이기수술.관찰술후1년적안위、하사기공능、대상두위、검렬、안구운동、동시공능급병발증정황.결과 술후1년29례(80.56％,29/36)환인술후하사기항진소실,회복만의,7례(19.44％,7/36)개선;25례(69.44％,25/36)회복쌍안단시공능,기중19례(76％,19/25)회복동시시공능,4례(16％,4/25)회복융합공능,2례(8％,2/25)회복입체시.결론 수술시치료분리성수직사시적상용방법,하사기전위술후안구상전수한화검렬변화불명현,차능규정10～35△적수직사시,시치료반유하사기공능항진분리성수직사시적교가방법.
Objective To analyze the effectiveness of the DVD treatment with anterior transposition of the inferior oblique muscle (ATIO).Methods The surgery of ATIO was performed on 36 patients (66 eyes) from 2008 to 2012,but with superior rectus recession combined with anterior transposition of the inferior oblique muscle in 3 cases.Results The inferior oblique overaction disappeared after the operation about 29 cases (80.56％,29/36),improved after the operation about 7 cases (19.44％,7/36).Conclusions ATIO is an effective method for the treatment of DVD with inferior oblique overaction,especially in deviation of more than 10△.