摘要
目的:回顾性分析显微镜下斜视矫正术的优越性。方法:斜视患者387例,男224例,女163例,年龄3～65岁,其中共同性斜视296例,麻痹性斜视65例,A-V征19例,垂直分离性斜视7例。全部病例均在显微镜下完成斜视矫正术,对复杂性斜视手术行睫状前血管分离保留。结果:术后23例欠矫,8例过矫,斜视矫正率达92.0%,有效率达100%。无1例发生眼前节缺血;手术视野清晰,操作准确,损伤小;手术并发症极少,局部反应轻微,恢复快。结论:显微镜下斜视手术与以往常规肉眼下斜视手术相比,无论从减轻手术创伤提高手术的准确性和减少手术并发症上,都有诸多的优越性。
AIM：To analyze the superiority of microscope strabismus surgery retrospectively.METHODS：Totally 387 cases with strabismus,male 224 cases,female 163 cases,aged 3 to 65 years,296 cases were concomitant strabismus,65 cases were paralytic strabismus,A-V syndrome in 19 cases,7 cases of dissociated vertical deviation.All cases were performed strabismus surgery under microscope.The complex strabismus operation had anterior ciliary vessels separation and retention.RESULTS：All 23 cases were undercorrection,8 cases overcorrection,strabismus correction rate reached 92.0%,and the efficaly rate reached 100%.No case of anterior segment ischemia occurred.The operation field was clear,operation accurate;post operative complications were minimal,local reactions mild,and recovery fast.CONCLUSION：Strabismus operation under microscope compared with the conventional naked eye strabismus operation,there are many advantages both in reducing operation trauma to improve operation accuracy and in reducing operation complication.
出处
《国际眼科杂志》
CAS
2012年第1期176-177,共2页
International Eye Science
关键词
斜视
显微镜下
微创手术
睫状前血管
strabismus
microscope
minimally invasive operation
anterior ciliary vessels
