国际眼科杂志Issue(11)：2091-2093,3.DOI:10.3980/j.issn.1672-5123.2014.11.52
眶周肌肉切除术与A型肉毒毒素治疗特发性眼睑痉挛的选择与评估
Selection and evaluation of orbital muscle excision and botulinum toxin A in the treatment of blepharospasm
赵敏 1涂惠芳 1许荣1
作者信息
- 1. 430060 中国湖北省武汉市，武汉爱尔眼科医院眼整形科
- 折叠
摘要
Abstract
AIM: To investigate the choice basis of orbital muscle excision and botulinum toxin A injection in the treatment of blepharospasm.
<br> METHODS: This retrospective clinical analysis was involved 100 cases with idiopathic blepharospasm. According to the degree of blepharospasm, they were divided into 0-Ⅳ grade, and divided into two groups. Group A included 60 cases (I ~ Ⅲ grade ) treated with botulinum toxin A, and 40 cases (>Ⅲ~Ⅳgrade) in group B treated with orbital muscle excision during the period from March 2012 to May 2014 in our hospital. Patients were followed up 3 ~ 24mo.
<br> RESULTS: In 60 cases of group A, After treatment, 57 patients were completely corrected with classified grade of 0, 2 patients residue spasm, but its grade was decreased significantly, and 1 case had no effect. Of 40 patients in group B were in grade>Ⅲ ~ Ⅳ, 25 patients were poor response to botulinum toxin treatment and accompanied with drooping eyebrow and eyelid ptosis symptoms. Thirty patients were completely corrected after injection, 7 residue cases were in grade I, 3 cases in grade II.
<br> CONCLUSION: The correct choice of the treatment for blepharospasm according to the clinical classification can improve the efficacy and safety.关键词
眼睑痉挛/A型肉毒毒素/眶周肌肉切除Key words
blepharospasm/botulinum toxin A/orbital muscle resection引用本文复制引用
赵敏,涂惠芳,许荣..眶周肌肉切除术与A型肉毒毒素治疗特发性眼睑痉挛的选择与评估[J].国际眼科杂志,2014,(11):2091-2093,3.
