中国实用眼科杂志
中國實用眼科雜誌
중국실용안과잡지
CHINESE JOURNAL OF PRACTICAL OPHTHALMOLOGY
2014年
6期
767-770
,共4页
付令利%陈霞%曲晓蕾%孙艳群
付令利%陳霞%麯曉蕾%孫豔群
부령리%진하%곡효뢰%손염군
眼球运动障碍%运动眼肌%限制性斜视%病因%眼外科手术
眼毬運動障礙%運動眼肌%限製性斜視%病因%眼外科手術
안구운동장애%운동안기%한제성사시%병인%안외과수술
Ocular motility disorders%Oculomotor muscles%Restrictive strabismus%etiology%Ophthalmologic surgical procedures
目的 对住院行手术治疗的进行性限制性斜视病例进行临床总结,以加深对此病的认识.方法 回顾性病例分析.对2003年3月至2013年3月在天津市眼科医院就诊的13例进行性限制性斜视患者的临床病历资料进行回顾性总结和分析.结果 在13例患者中,男9例、女4例;发病年龄1个月至3岁;进展时间1个月至2年.上斜、下斜、内下斜各2例,分别占15.4％ (2/13);外斜及外上斜各3例,分别占23.1％ (3/13),外下斜1例,占7.7％ (1/13).手术方式:根据斜视方向及肌肉限制情况选择行受累肌肉减弱术;10例术后斜视改善,其中5例获得正位;1例垂直斜视改善水平斜视过矫,2例再次手术时因探查发现广泛粘连无法手术.结论 进行性限制性斜视是一种少见的后天性进行性限制性斜视,婴幼儿期发病,常单眼受累,在短时间内迅速进展形成稳定的大角度限制性斜视.目前病因不清,受累肌肉不同、斜视性质各异,手术操作困难,预后依病情而定.
目的 對住院行手術治療的進行性限製性斜視病例進行臨床總結,以加深對此病的認識.方法 迴顧性病例分析.對2003年3月至2013年3月在天津市眼科醫院就診的13例進行性限製性斜視患者的臨床病歷資料進行迴顧性總結和分析.結果 在13例患者中,男9例、女4例;髮病年齡1箇月至3歲;進展時間1箇月至2年.上斜、下斜、內下斜各2例,分彆佔15.4％ (2/13);外斜及外上斜各3例,分彆佔23.1％ (3/13),外下斜1例,佔7.7％ (1/13).手術方式:根據斜視方嚮及肌肉限製情況選擇行受纍肌肉減弱術;10例術後斜視改善,其中5例穫得正位;1例垂直斜視改善水平斜視過矯,2例再次手術時因探查髮現廣汎粘連無法手術.結論 進行性限製性斜視是一種少見的後天性進行性限製性斜視,嬰幼兒期髮病,常單眼受纍,在短時間內迅速進展形成穩定的大角度限製性斜視.目前病因不清,受纍肌肉不同、斜視性質各異,手術操作睏難,預後依病情而定.
목적 대주원행수술치료적진행성한제성사시병례진행림상총결,이가심대차병적인식.방법 회고성병례분석.대2003년3월지2013년3월재천진시안과의원취진적13례진행성한제성사시환자적림상병력자료진행회고성총결화분석.결과 재13례환자중,남9례、녀4례;발병년령1개월지3세;진전시간1개월지2년.상사、하사、내하사각2례,분별점15.4％ (2/13);외사급외상사각3례,분별점23.1％ (3/13),외하사1례,점7.7％ (1/13).수술방식:근거사시방향급기육한제정황선택행수루기육감약술;10례술후사시개선,기중5례획득정위;1례수직사시개선수평사시과교,2례재차수술시인탐사발현엄범점련무법수술.결론 진행성한제성사시시일충소견적후천성진행성한제성사시,영유인기발병,상단안수루,재단시간내신속진전형성은정적대각도한제성사시.목전병인불청,수루기육불동、사시성질각이,수술조작곤난,예후의병정이정.
Objective To analyze the clinical manifestations and the effects of surgical management on progressive restrictive strabismus acquired in infancy.Methods Thirteen cases with progressive restrictive strabismus acquired in infancy were retrospectively summarized.Results In the 13 cases,the gender ratio was 2.25:l,the onset of age was 1 month to 3 years and the progressive course was 1 month to 2 years.There were 2 eyes hypertropia (15.4％ (2/13)); 2 eyes hypotropia (15.4％ (2/13)); 2 eyes esotropia and hypotropia (15.4％ (2/13)); 1 eye was exotropia and hypotropia (7.7％ (1/13)); 3 eyes were exotropia (23.1％ (3/13)); 3 eyes were exotropia and hypertropia (23.1％ (3/13)).All 13 cases had no family history of strabismus.The methods of surgical were weakened affected muscles including recession,hang-back or severed.The clinical manifestations were improved in 10 eyes after surgery.Conclusions Progressive restrictive strabismus is an rare acquired strabismus,often involve monocular,with severely restricted motility and large angle restrictive unilateral strabismus developing over a period of a few times in infancy in otherwise normal children who has normal eye alignment and movements at birth.The etiology is unknown currently.Surgical treatment of these eases is difficult and outcomes are variable according to the condition.
