中华眼视光学与视觉科学杂志
中華眼視光學與視覺科學雜誌
중화안시광학여시각과학잡지
CHINESE JOURNAL OF OPTOMETRY OPHTHALMOLOGY AND VISUAL SCIENCE
2015年
4期
209-212
,共4页
斜视手术%近视,退行性%内斜视%改良Yokoyama术
斜視手術%近視,退行性%內斜視%改良Yokoyama術
사시수술%근시,퇴행성%내사시%개량Yokoyama술
Strabismus surgery%Myopia,degenerative%Esotropia%Modified Yokoyama's surgery
目的 探讨改良Yokoyama术治疗高度近视限制性内下斜视的效果.方法 回顾性病例研究.分析2011-2014年江苏省中医院6例(8眼)高度近视固定性内下斜视的手术效果.术前CT检查眼外肌位置及组织变化.术前、术后9个诊断眼位检查眼运动功能.术前、术中行被动牵拉试验以评估肌肉的限制程度和功能.以改良Yokoyama+内直肌后徙术对患跟的眼位进行矫正.结果 CT显示患眼眼外肌出现移位.术前被动牵拉患眼内直肌出现挛缩,患眼外上转严重受限.术后观察半年,患眼第一眼位正位,外、上转明显改善,无一例出现眼前节缺血并发症.结论 改良Yokoyama术术后患者眼位及眼球运动均恢复良好,是矫正高度近视固定性内下斜视较好的一种手术方法.
目的 探討改良Yokoyama術治療高度近視限製性內下斜視的效果.方法 迴顧性病例研究.分析2011-2014年江囌省中醫院6例(8眼)高度近視固定性內下斜視的手術效果.術前CT檢查眼外肌位置及組織變化.術前、術後9箇診斷眼位檢查眼運動功能.術前、術中行被動牽拉試驗以評估肌肉的限製程度和功能.以改良Yokoyama+內直肌後徙術對患跟的眼位進行矯正.結果 CT顯示患眼眼外肌齣現移位.術前被動牽拉患眼內直肌齣現攣縮,患眼外上轉嚴重受限.術後觀察半年,患眼第一眼位正位,外、上轉明顯改善,無一例齣現眼前節缺血併髮癥.結論 改良Yokoyama術術後患者眼位及眼毬運動均恢複良好,是矯正高度近視固定性內下斜視較好的一種手術方法.
목적 탐토개량Yokoyama술치료고도근시한제성내하사시적효과.방법 회고성병례연구.분석2011-2014년강소성중의원6례(8안)고도근시고정성내하사시적수술효과.술전CT검사안외기위치급조직변화.술전、술후9개진단안위검사안운동공능.술전、술중행피동견랍시험이평고기육적한제정도화공능.이개량Yokoyama+내직기후사술대환근적안위진행교정.결과 CT현시환안안외기출현이위.술전피동견랍환안내직기출현련축,환안외상전엄중수한.술후관찰반년,환안제일안위정위,외、상전명현개선,무일례출현안전절결혈병발증.결론 개량Yokoyama술술후환자안위급안구운동균회복량호,시교정고도근시고정성내하사시교호적일충수술방법.
Objective To investigate the effect of a modified Yokoyama's technique in the treatment of fixus strabismus with high myopia.Methods A retrospective analysis was conducted on the medical records of 8 eyes of 6 patients with myopic fixus esotropia who underwent the modified Yokoyama's surgery between 2011 and 2014.The location of the extraocular muscles was investigated with CT scan.Ocular alignment and motility in the nine diagnostic gaze positions were evaluated pre-and postoperatively.A forced duction test was also performed during the operation.Modified Yokoyama's surgery and the medial rectus muscle recession were performed to correct eye position.Results The scans showed that the position of the extraocular muscles had changed,and restricted abduction and elevation were detected by the forced duction test in the affected eye before surgery.The modified Yokoyama's surgery was successfully performed on eight eyes of six patients with fixus myopic esotropia.Orthotropia in the primary gaze position was achieved in all operative eyes after 6 months of follow-up.Complications of anterior segment ischemia did not occur.Conclusion The modification of Yokoyama's technique is a good surgical choice for treatment of myopic fixus esotropia.
