摘要
Purpose:To observe the form and number of the anterior ciliary vessels(ACV)in rectus muscles.To train technician in preservation an d obsevation of ACV,so preservation can be done in caes with a rish of anterior segment ischemia(ASI).Methods:Curved foreign knife,iris hook,plastic rubber band and standard operat-ing loupes(3x)or microscope were used in the surgery on 34cases of comitant strabismus and 18cases of paralytic strabismus.Results:The ACVs per muscle in medial,lateral,superior,inferior rectus were3.08,3.26,3.50and3.50respectively in 89muscles of 52surgical strabismus cas-es.All ACVs in 16rectus muscles and 90out of 220ACVs in 73rectus muscles were too small ortoo short to be dissected.The sucess rate of ACV preservation was91.5%(119/130).105out of 130vessels were saved using loupe magnifica-tion and 14pit pf130vessels were saved under operating microscope.Conclusions:The number of ACVinrectus muscles are more than 2in our obser-vation cases.The ACVpreservation has the clinical value of allowing us toper-form muscle sugery on three or more rectus muscles simultaneously and get fonal surgical results more earlier after acv in each muscle are dissected and preserved otherwinse staged surgery are needed.The each strabismus surgeon must knov this technique.
Purpose :To observe the form and number of the anterior ciliary vessels (ACV) in rectus muscles. To train technician in preservation and obsevation of ACV, so preservation can be done in caes with a risk of anterior segment ischemia (ASI). Methods:Curved foreign knife, iris hook, plastic rubber band and standard operating loupes (3x. ) or microscope were used in the surgery on 34 cases of comitant strabismus and 18 cases of paralytic strabismus.Results:The ACVs per muscle in medial, lateral, superior, inferior rectus were 3. 08,3. 26,3. 50 and 3. 50 respectively in 89 muscles of 52 surgical strabismus cases. All ACVs in 16 rectus muscles and 90 out of 220 ACVs in 73 rectus muscles were too small or too short to be dissected. The success rate of ACV preservation was 91. 5% (119/130). 105 out of 130 vessels were saved using loupe magnification and 14 pit pf 130 vessels were saved under operating microscope. Conclusions :The number of ACV in rectus muscles are more than 2 in our observation cases. The ACV preservation has the clinical value of allowing us to perform muscle surgery on three or more rectus muscles simultaneously and get final surgical results more earlier after ACV in each muscle are dissected and preserved otherwinse staged surgery are needed. The each strabismus surgeon must know this technique. Eye Science 1995; 11:44-47.
出处
《眼科学报》
1995年第1期44-47,共4页
Eye Science
关键词
斜视
治疗期间
直肌
ACV
局部缺血
strabismus,anterior eye segment,rectus muscles,dissection,anterior ciliary vessels
