中国实用眼科杂志
中國實用眼科雜誌
중국실용안과잡지
CHINESE JOURNAL OF PRACTICAL OPHTHALMOLOGY
2012年
12期
1432-1436
,共5页
李振波%王淑英%牟丽丽%张浩润%吴娟
李振波%王淑英%牟麗麗%張浩潤%吳娟
리진파%왕숙영%모려려%장호윤%오연
虹膜定位%波前像差%斜视%眼球旋转
虹膜定位%波前像差%斜視%眼毬鏇轉
홍막정위%파전상차%사시%안구선전
Iris localization%Wave-front aberration%Strabismus%Eye cyclotorsion
目的 以虹膜定位技术为客观定量检查方法,结合临床观察斜视患者手术前、后眼球的客观旋转状态,探讨其在手术中的作用和意义,为手术改善和完善、测量标准提供新的依据.方法 收集2009年10月至2011年1月入院的共同性外斜视、上斜肌麻痹的患者各40例,并随机分为显微手术组、非显微手术组,使用WaveScan波前像差仪取坐位行虹膜识别,获得虹膜图像和数据,使用美国威视公司VISX Star S4-IR准分子激光系统行仰卧位定位,记录术前、术后虹膜(眼球)旋转的角度.结果 主斜眼、主视眼手术前、后眼球的旋转度进行配对t检验,主斜眼、主视眼的非显微手术组与显微手术组进行两样本t检验.①共同性外斜视非显微手术组:主视眼手术前、后眼球旋转度分别为(4.88±2.55)°、(4.76±2.62)°,差异无统计学意义.主斜眼手术前、后眼球旋转度分别为(2.70±2.36)°、(6.00±2.76)°,差异有统计学意义.显微手术组:主视眼手术前、后眼球旋转度分别为(2.86±2.28)°、(3.12±2.17)°,差异无统计学意义.主斜眼手术前、手术后眼球旋转度分别为(2.08±1.86)°、(3.28±2.04)°,差异有统计学意义.主斜眼非显微手术组与显微手术组进行两样本t检验,术前差异无统计学意义,术后差异有统计学意义.②上斜肌麻痹非显微手术组:主视眼手术前、手术后眼球旋转度分别为(2.88±3.58)°、(2.08±2.36)°,差别无统计学意义.主斜眼手术前、手术后眼球旋转度分别为(2.48±2.51)°、(5.73±1.98)°,差别有统计学意义.显微手术组:主视眼手术前、手术后眼球旋转度分别为(4.90±3.60)°、(4.56±1.12)°,差异无统计学意义.主斜眼手术前、手术后眼球旋转度分别为(3.12±3.07)°、(4.26±1.98)°,差异有统计学意义.主斜眼非显微手术组与显微手术组进行两样本f检验,术前两组差异无统计学意义,术后两组差异有统计学意义.结论 ①显微手术可以提高斜视手术的精细度.②虹膜定位技术可以客观地描述斜视患者的眼球旋转状态,减少手术源性旋转,并且为临床手术效果做出评价.
目的 以虹膜定位技術為客觀定量檢查方法,結閤臨床觀察斜視患者手術前、後眼毬的客觀鏇轉狀態,探討其在手術中的作用和意義,為手術改善和完善、測量標準提供新的依據.方法 收集2009年10月至2011年1月入院的共同性外斜視、上斜肌痳痺的患者各40例,併隨機分為顯微手術組、非顯微手術組,使用WaveScan波前像差儀取坐位行虹膜識彆,穫得虹膜圖像和數據,使用美國威視公司VISX Star S4-IR準分子激光繫統行仰臥位定位,記錄術前、術後虹膜(眼毬)鏇轉的角度.結果 主斜眼、主視眼手術前、後眼毬的鏇轉度進行配對t檢驗,主斜眼、主視眼的非顯微手術組與顯微手術組進行兩樣本t檢驗.①共同性外斜視非顯微手術組:主視眼手術前、後眼毬鏇轉度分彆為(4.88±2.55)°、(4.76±2.62)°,差異無統計學意義.主斜眼手術前、後眼毬鏇轉度分彆為(2.70±2.36)°、(6.00±2.76)°,差異有統計學意義.顯微手術組:主視眼手術前、後眼毬鏇轉度分彆為(2.86±2.28)°、(3.12±2.17)°,差異無統計學意義.主斜眼手術前、手術後眼毬鏇轉度分彆為(2.08±1.86)°、(3.28±2.04)°,差異有統計學意義.主斜眼非顯微手術組與顯微手術組進行兩樣本t檢驗,術前差異無統計學意義,術後差異有統計學意義.②上斜肌痳痺非顯微手術組:主視眼手術前、手術後眼毬鏇轉度分彆為(2.88±3.58)°、(2.08±2.36)°,差彆無統計學意義.主斜眼手術前、手術後眼毬鏇轉度分彆為(2.48±2.51)°、(5.73±1.98)°,差彆有統計學意義.顯微手術組:主視眼手術前、手術後眼毬鏇轉度分彆為(4.90±3.60)°、(4.56±1.12)°,差異無統計學意義.主斜眼手術前、手術後眼毬鏇轉度分彆為(3.12±3.07)°、(4.26±1.98)°,差異有統計學意義.主斜眼非顯微手術組與顯微手術組進行兩樣本f檢驗,術前兩組差異無統計學意義,術後兩組差異有統計學意義.結論 ①顯微手術可以提高斜視手術的精細度.②虹膜定位技術可以客觀地描述斜視患者的眼毬鏇轉狀態,減少手術源性鏇轉,併且為臨床手術效果做齣評價.
목적 이홍막정위기술위객관정량검사방법,결합림상관찰사시환자수술전、후안구적객관선전상태,탐토기재수술중적작용화의의,위수술개선화완선、측량표준제공신적의거.방법 수집2009년10월지2011년1월입원적공동성외사시、상사기마비적환자각40례,병수궤분위현미수술조、비현미수술조,사용WaveScan파전상차의취좌위행홍막식별,획득홍막도상화수거,사용미국위시공사VISX Star S4-IR준분자격광계통행앙와위정위,기록술전、술후홍막(안구)선전적각도.결과 주사안、주시안수술전、후안구적선전도진행배대t검험,주사안、주시안적비현미수술조여현미수술조진행량양본t검험.①공동성외사시비현미수술조:주시안수술전、후안구선전도분별위(4.88±2.55)°、(4.76±2.62)°,차이무통계학의의.주사안수술전、후안구선전도분별위(2.70±2.36)°、(6.00±2.76)°,차이유통계학의의.현미수술조:주시안수술전、후안구선전도분별위(2.86±2.28)°、(3.12±2.17)°,차이무통계학의의.주사안수술전、수술후안구선전도분별위(2.08±1.86)°、(3.28±2.04)°,차이유통계학의의.주사안비현미수술조여현미수술조진행량양본t검험,술전차이무통계학의의,술후차이유통계학의의.②상사기마비비현미수술조:주시안수술전、수술후안구선전도분별위(2.88±3.58)°、(2.08±2.36)°,차별무통계학의의.주사안수술전、수술후안구선전도분별위(2.48±2.51)°、(5.73±1.98)°,차별유통계학의의.현미수술조:주시안수술전、수술후안구선전도분별위(4.90±3.60)°、(4.56±1.12)°,차이무통계학의의.주사안수술전、수술후안구선전도분별위(3.12±3.07)°、(4.26±1.98)°,차이유통계학의의.주사안비현미수술조여현미수술조진행량양본f검험,술전량조차이무통계학의의,술후량조차이유통계학의의.결론 ①현미수술가이제고사시수술적정세도.②홍막정위기술가이객관지묘술사시환자적안구선전상태,감소수술원성선전,병차위림상수술효과주출평개.
Objective To investigate the clinical significance of the objective status of strabismus before and after surgery using the iris localization and discuss its effect on strabismus surgery.Methods The collection received patients in hospital with concomitant exotropia and superior oblique palsy.Using the Wave Scan wavefront analyzer was to take iris images and data,and the use of VISX Star S4-IR excimer laser,as the U.S company,were recorded iris (eye) rotation angle before and after surgery.Results The concomitant exotropia group Non-microsurgery group:The dominant eye's rotation before and after surgery was (4.88±2.55)° and (4.76±2.62)° respectively.The difference between the two groups was not significant.The main strabismus eye's rotation before and after surgery was (2.70±2.36)° and (6.00±2.76)° respectively.The difference between the two groups was statistically significant.Micro-surgery group:The dominant eye's rotation before and after surgery was (2.86±2.28)° and (3.12±2.17)° respectively.The difference between the two groups was not significant.The main strabismus eye's rotation before and after surgery was (2.08±1.86)° and (3.28±2.04)° respectively.The difference between the two groups was statistically significant.The superior oblique palsy group Non-microsurgery group:The dominant eye's rotation before and after surgery was (2.88±3.58)° and (2.08±2.36)° respectively.The difference between the two groups was not significant.The main strabismus eye's rotation before and after surgery was (2.48±2.51)°and (5.73±1.98)° respectively.The difference between the two groups was statistically significant.Micro-surgery group:The dominant eye's rotation before and after surgery was (4.90±3.60)° and (4.56±1.12)° respectively.The difference between the two groups was not significant.The main strabismus eye's rotation before and after surgery was (3.12±3.07)° and (4.26±1.98)° respectively.The difference between the two groups was statistically significant.Conclusions Micro-surgery can improve the fineness of strabismus surgery.Iris positioning technology can be an objective description of rotating the eye in patients with strabismus,in order to make a clinical evaluation of surgical results.
