西南国防医药2012，Vol.22Issue(9)：970-973,4.DOI:10.3969/j.issn.1004-0188.2012.09.017
外眼手术后继发性斜视56例临床分析
Clinical analysis of secondary heterotropia after operation for outer eyes in 56 cases
摘要
Abstract
Objective To discuss the causes and prevention strategies of secondary heterotropia after operation for outer eyes. Methods Fifty six patients with secondary heterotropia after operation for outer eyes were selected as subjects. Among them, 18 ones received excision of pterygium; 15 ones did prothesis for injury of extraocular muscle; 10 ones did correction of upper eyelid ptosis; 8 ones did excision of conjunctival cyst; 5 ones did excision of conjunctiva lipoma. Retrospective analyses were made in causes of heterotropia and prevention methods. Results Among those with heterotropia after the excision of pterygium, 14 cases were relieved by themselves or by medical treatment. The operation research discovered that the main causes were shifting of muscular apparatus ending or scar formation. The main causes for secondary heterotropia after prothesis for injury of extraocular muscle were scar tissue and conglutination. Thirteen cases were relieved or recovered by themselves or medicine and rectificative training within 6 months, and 2 ones were recovered by rectificative operation. The main cause of heterotropia after correction of upper eyelid ptosis was fibrosis of superior rectus. Eight cases were relieved or recovered by themselves or rectificative training, and 2 ones were recovered by rectificative operaion. The causes for heterotropia after excision of conjunctival cyst or lipoma were scar formation and conglutination. The illness in 10 patients was relieved by medicine or rectificative treatment, and 3 ones were recovered by rectificative operation. Conclusion The main causes for secondary heterotropia after operation for outer eyes were shifting of muscular apparatus, scar formation or conglutination, and fibrosis of muscular apparatus, etc. The ophthalmologist should pay more attention to prevent the occurrence of postoperative secondary heterotropia. The postoperative secondary heterotropia can be corrected by operation.关键词
外眼手术/斜视/原因/矫正Key words
outer eye operation/ heterotropia/ cause/ correction分类
医药卫生引用本文复制引用
郑开兰,龙玉君,杨联霞,查虹..外眼手术后继发性斜视56例临床分析[J].西南国防医药,2012,22(9):970-973,4.
