摘要
目的:探讨外直肌和上直肌部分联结术治疗常规手术无效的高度近视眼限制性内下斜视临床疗效。方法:2012年3月-2018年3月收治常规手术无效的高度近视眼限制性内下斜视患者10例(16只眼),均实施外直肌和上直肌部分联结术治疗,并持续跟踪随访6个月以上,观察分析临床疗效。结果:第一眼位为正位8例(14只眼),第一眼位为-15°2例(4只眼);CT检查结果显示,脱位眼球被还纳回肌圆锥内,而眼球外转功能逐渐恢复、眼球上转功能逐渐恢复;10例患者均未发生复视,无术后并发症。结论:应用外直肌和上直肌部分联结术治疗常规手术无效的高度近视眼限制性内下斜视临床疗效良好,可以有效改善眼球运动功能。
Objective:To explore the clinical effect of partial connection of the external rectus and the superior rectus in the treatment of restrictive esotropia of high myopia without effect of routine operation.Methods:From March 2012 to March 2018,10 patients(16 eyes)with restrictive esotropia of high myopia without effect of routine operation were selected,they were treated with partial connection of the external rectus and the superior rectus,and follow-up for more than 6 months,we observed and analyzed the clinical effect.Results:The first eye position was positive in 8 cases(14 eyes),and the first eye position was-15°in 2 cases(4 eyes);The results of CT showed that the dislocated eyeball was returned to the conus muscle,and the external rotation function was gradually restored and the up turn function was gradually restored;There were no diplopia and postoperative complications in 10 patients.Conclusion:The clinical effect of partial connection of the external rectus and the superior rectus in the treatment of restrictive esotropia of high myopia without effect of routine operation is better,It can effectively improve the function of eye movement.
作者
贾莹莹
Jia Yingying(The People's Hospital of Ningjin County,Shandong Ningjin 253400)
出处
《中国社区医师》
2020年第9期29-29,31,共2页
Chinese Community Doctors
关键词
外直肌部分联结术
上直肌部分联结术
常规手术无效
高度近视眼
限制性内下斜视
临床疗效
Partial external rectus connection
Partial connection of superior rectus
Ineffective routine surgery
High myopia
Restrictive esotropia
Clinical effect