中华眼科杂志
中華眼科雜誌
중화안과잡지
Chinese Journal of Ophthalmology
2014年
7期
500-503
,共4页
斜视%动眼肌%眼球运动障碍%眼外科手术
斜視%動眼肌%眼毬運動障礙%眼外科手術
사시%동안기%안구운동장애%안외과수술
Strabismus%Oculomotor muscles%Ocular motility disorders%Ophthalmologic surgical procedures
目的 探讨上斜肌后徙术对上斜肌功能亢进引起的内旋转斜视的疗效.方法 回顾性研究.对20例(31只眼)上斜肌功能亢进的患者行上斜肌后徙术,其中双眼11例,单眼9例.于术前和术后1、30、90 d行双眼眼底照相检查,使用绘图软件测量黄斑与视乳头的夹角,记录眼球的客观旋转角度.使用双马氏杆和同视机检查主观旋转角度,同时行Bagolini线状镜和Titmus立体视觉检查图了解双眼视功能.对手术前后眼球旋转度数组间及两两比较分别采用配对t检验和单因素方差分析,对术前客观旋转度数及上斜肌亢进程度与术后内旋转度数减少量的相关性采用直线相关分析.结果 11例双眼患者术前右眼为内旋转9.50°±5.13°,左眼为8.23°±3.45°,双眼间差异无统计学意义(t=l.12,P=0.29).9例单眼手术患者术前患眼为内旋6.55°±4.14°,对侧眼为6.85°±5.08°,双眼间差异无统计学意义(t=0.13,P=0.90).11例双眼手术患者术前总内旋度数为17.74°±7.89°,术后1、30、90d总内旋转度数分别为7.63°±4.28°、6.05°±6.11°、7.33°±6.17°,组间比较差异有统计学意义(F=8.245,P＜0.01).9例单眼手术患者术前双眼总内旋度数为13.40°±6.13°,术后1、30、90d总内旋转度数分别为5.06°±3.99°、3.59°±3.47°、5.07°±3.35°,组间比较差异有统计学意义(F=9.351,P＜0.01).4例存在主观旋转感觉的患者手术前后主观旋转度数与客观不一致.8例患者术后双眼视功能较术前改善.结论 上斜肌后徙术可有效矫正由于上斜肌功能亢进而引起的内旋转斜视.
目的 探討上斜肌後徙術對上斜肌功能亢進引起的內鏇轉斜視的療效.方法 迴顧性研究.對20例(31隻眼)上斜肌功能亢進的患者行上斜肌後徙術,其中雙眼11例,單眼9例.于術前和術後1、30、90 d行雙眼眼底照相檢查,使用繪圖軟件測量黃斑與視乳頭的夾角,記錄眼毬的客觀鏇轉角度.使用雙馬氏桿和同視機檢查主觀鏇轉角度,同時行Bagolini線狀鏡和Titmus立體視覺檢查圖瞭解雙眼視功能.對手術前後眼毬鏇轉度數組間及兩兩比較分彆採用配對t檢驗和單因素方差分析,對術前客觀鏇轉度數及上斜肌亢進程度與術後內鏇轉度數減少量的相關性採用直線相關分析.結果 11例雙眼患者術前右眼為內鏇轉9.50°±5.13°,左眼為8.23°±3.45°,雙眼間差異無統計學意義(t=l.12,P=0.29).9例單眼手術患者術前患眼為內鏇6.55°±4.14°,對側眼為6.85°±5.08°,雙眼間差異無統計學意義(t=0.13,P=0.90).11例雙眼手術患者術前總內鏇度數為17.74°±7.89°,術後1、30、90d總內鏇轉度數分彆為7.63°±4.28°、6.05°±6.11°、7.33°±6.17°,組間比較差異有統計學意義(F=8.245,P＜0.01).9例單眼手術患者術前雙眼總內鏇度數為13.40°±6.13°,術後1、30、90d總內鏇轉度數分彆為5.06°±3.99°、3.59°±3.47°、5.07°±3.35°,組間比較差異有統計學意義(F=9.351,P＜0.01).4例存在主觀鏇轉感覺的患者手術前後主觀鏇轉度數與客觀不一緻.8例患者術後雙眼視功能較術前改善.結論 上斜肌後徙術可有效矯正由于上斜肌功能亢進而引起的內鏇轉斜視.
목적 탐토상사기후사술대상사기공능항진인기적내선전사시적료효.방법 회고성연구.대20례(31지안)상사기공능항진적환자행상사기후사술,기중쌍안11례,단안9례.우술전화술후1、30、90 d행쌍안안저조상검사,사용회도연건측량황반여시유두적협각,기록안구적객관선전각도.사용쌍마씨간화동시궤검사주관선전각도,동시행Bagolini선상경화Titmus입체시각검사도료해쌍안시공능.대수술전후안구선전도수조간급량량비교분별채용배대t검험화단인소방차분석,대술전객관선전도수급상사기항진정도여술후내선전도수감소량적상관성채용직선상관분석.결과 11례쌍안환자술전우안위내선전9.50°±5.13°,좌안위8.23°±3.45°,쌍안간차이무통계학의의(t=l.12,P=0.29).9례단안수술환자술전환안위내선6.55°±4.14°,대측안위6.85°±5.08°,쌍안간차이무통계학의의(t=0.13,P=0.90).11례쌍안수술환자술전총내선도수위17.74°±7.89°,술후1、30、90d총내선전도수분별위7.63°±4.28°、6.05°±6.11°、7.33°±6.17°,조간비교차이유통계학의의(F=8.245,P＜0.01).9례단안수술환자술전쌍안총내선도수위13.40°±6.13°,술후1、30、90d총내선전도수분별위5.06°±3.99°、3.59°±3.47°、5.07°±3.35°,조간비교차이유통계학의의(F=9.351,P＜0.01).4례존재주관선전감각적환자수술전후주관선전도수여객관불일치.8례환자술후쌍안시공능교술전개선.결론 상사기후사술가유효교정유우상사기공능항진이인기적내선전사시.
Objective To investigate the effect of superior oblique recession on the status of ocular torsion.Methods Twenty patients (31 eyes) underwent superior oblique recession for treatment of superior oblique overacting,11 cases had both eyes involvement while 9 had monocular.Objective cyclotorsion were examined pre-operation,as well as 1,30,90 days post-operation with fundus photograph.The photographs were transferred to a computer and then the fovea-disa angle (FDA) was measured by a software for drawing pictures.Subjective cyclotorsion were assessed by double Maddox rod test and synoptophore,while the binocular vision function by Bagolini glasses and Titmus.Results For 11 cases of the both eyes involvement,preoperation FDA was 9.50° ±5.12°in the right eyes,8.23° ± 3.45° in the left eyes,there was not statistically significant between two eyes (t =1.12,P =0.29).For 9 cases of the monocular eye involvement,preoperation FDA was 6.55° ±4.14°in the affected eyes,6.85° ±5.08° in the follow eyes,there was also not statistically significant between two eyes (t =0.13,P =0.90).To 1 1 cases of the both eyes involvement,the combined FDA of preoperation and 1,30,90 days after operation were 17.74° ±7.89°and 7.63 ° ± 4.28 °,6.05 ° ± 6.1 1 °,7.33 ° ± 6.17 ° respectively.The comparision of objective ocular cyclotorsion for both eyes showed significant difference pre-and post-operation(F =8.245,P ＜0.01).To 9 cases of the monocular eye involvement,the combined FDA of preoperation and 1,30,90 days after operation were 13.40° ±6.13°and 5.06° ±3.99°,3.59° ± 3.47°,5.07° ± 3.35°respectively.The comparision of objective ocular cyclotorsion showed significant difference pre-and post-operation (F =9.351,P ＜ 0.01).Four patients had subjective cyclotorsion,but it's different with objective cyclotorsion before and after surgery.8 patients' binocular vision function were ameliorated after surgery.Conclusion Recession of overaction superior oblique muscles can correct ocular incyclodeviation effectively.
