摘要
目的探讨应用不同手术方式治疗先天性上斜肌麻痹的效果。方法对46例先天性上斜肌麻痹患者,根据原在位垂直斜度和眼外肌的功能情况选择不同的手术方式,术后随访3～24个月,观察治疗效果。结果术后,37例眼位为正位,9例眼位较前改善。32例代偿头位消失,5例代偿头位减轻,2例代偿头位无变化。治愈32例(70%),好转14例(30%),总有效率100%。结论对于先天性上斜肌麻痹患者,根据斜度和眼外肌的功能情况选择不同的手术方式治疗可获得良好的效果。
Objective To explore the effect of different surgical approaches for congenital superior oblique palsy.Methods According to degree of primary vertical strabismus and eye muscle,s functional status,46 cases paralytic strabismus were performed with different surgical methods.FoIlow-up time was 3-24 months after operation.Results After operation,in 37 cases eye position was front view,9 cases eye position was better than the previous condition,32 cases head tilt were eliminated,5 cases head tilt turned for the better,and 2 cases head tilt were unavailing.32 cases were cured（70%）,14 cases were improved 14（30%）,and the total effective rate was 100%.Conclusion Good clinical effect can be obtained by different surgical methods which are chosen according to degree of primary vertical strabismus and eye muscle＇s functional status.
出处
《临床眼科杂志》
2012年第2期128-130,共3页
Journal of Clinical Ophthalmology
关键词
上斜肌麻痹
手术治疗
Congenital superior oblique palsy
Surgical approaches
