摘要
目的 探讨视网膜脱离手术后斜视的手术特点和效果。方法 2 3例 2 6眼视网膜脱离手术后斜视 ,手术前后三棱镜加交替遮盖或三棱镜映光法 (Krimsky法 )测定客观斜视角等 ,术后追踪 2～ 2 8月。结果 (1)术中特点 :眼外肌粘连、纤维化的程度不同 ;各直肌附着点距离角膜缘比正常的平均远 2～ 3mm。 (2 )斜视矫正量 :以单纯直肌减弱术矫正量最小 ,直肌减弱联合缩短再复位术矫正量最大。 (3)术后眼位 :第 1正位率 5 6 5 % ,改善率 43 5 %。结论 解除牵制因素联合直肌手术能有效的解除、改善这种特殊的斜视和复视。
To investigate the surgical features and effects of strabismus following retinal detachment treatment. Methods We indentified 23 cases(26 eyes) from our practices who had strabismus induced by retinal detachment surgery.All patients were examined using prism altemate cover test or Krimsky test pre operation and post operation.Postoperative follow up is from 2 to 28 months. Results (1)Findings in operation:Fibrosis of the ocular extra muscles can be a contributing factor to the existing of strabismus.The average distances from limbus to insertion of rectus were farther than normal one.(2)Correction of angle of squint:Angle of squint decreased by simple weaken the rectus muscles was least,and decreased by combined with weaken resection reposition the rectus was best.(3)Succeful corrective rate was 56.5% and partly corrective rate was 43.5% at the first strabismus surgery. Conclusion The restrictive factors released and combined with rectus operation were successful in markedly improving this strabisums and diplopia.
出处
《眼外伤职业眼病杂志》
北大核心
2000年第6期624-625,共2页
Journal of Injuries and Occupational Diseases of the Eye with Ophthalmic Surgeries
