摘要
目的:探讨Duane眼球后退综合征(DRS)的临床特点和治疗方法。方法:回顾性分析28例DRS患者临床资料,20例内斜视患者行内直肌后徙术,5例外斜视患者行外直肌后徙术,3例Ⅲ型患者因原在位维持在正位,没有明显的代偿头位,未行手术治疗。结果:术后眼球后退、睑裂变小体征改善或消失。20例内斜视患者术后17例斜视度数≤10度,3例斜视度数>10度,3例患者术后眼球后退、内转时睑裂变小体征仍严重且眼球内转时急速上、下转现象仍明显,行对侧直肌后固定缝线术后体征改善或消失。5例外斜视患者3例术后斜视度数≤10度,2例术后斜视度数均>10度,1例外斜视者伴有下斜肌功能亢进,同时行下斜肌截腱术或转位术。随访3个月～1年,疗效稳定。结论:不同类型DRS的临床表现不同,其部分临床表现和眼外肌受累情况有时很难与先天性广泛纤维化区分,如上睑下垂、大度数斜视等,需进行更为深入细致的研究。
Objective： To investigate the Duane＇s retraction syndrome （Duane＇s retraction syndrome, DRS） clinical features and therapeutic methods. Methods： Clinical data of 28 patients with DRS were analyzed retrospectively. Of 20 patients with esotropia were performed medial rectus recession, of 5 patients with external squint were gave lateral rectus recession. Of 3 patients with type Ⅲ, who had orthotope and no compensatory head posture,had no operation. Results： All patients with retraction, smaller palpebral fissure signs improved or cured postoperatively. Heterotropia dimensionality of 17 in 20 patients with esotropia was ≤ 10 grade, that of 3 〉 10 grade. Postoperatively, 3 patients remained obvious eyeballs retraction and smaller palpebral fissure and a rapid upper and lower rotation when doing adversion. Signs of above improved or healed after contralateral rectus posterior fixation suture. Of 3 in 5 patients with exotropia, Heterotropia dimensionality≤ 10, that of 2 〉 10, and one accompanied inferior oblique hyperfunction were operated inferior oblique tenonotomy or version. All patients were followed up for 3 months -1 year, therapeutic effects were stable. Conclusions： The different DRS have diverse clinical manifestations, partial clinical manifestations fibrosis, and it is harder to make differentiation, such and extraocular muscles involvement are similar as ptosis, strabismus of large deviations, which to congenital needs further study.
出处
《海南医学院学报》
CAS
2009年第8期959-960,963,共3页
Journal of Hainan Medical University
基金
海南医学院科研基金资助学报项目(0020090116)~~
