中国伤残医学2016，Vol.24Issue(2)：6-9,4.DOI:10.13214/j.cnki.cjotadm.2016.02.004
甲状腺相关性眼病眼外肌病变的手术治疗
Operative effect about extraocular myopathy in patients with Thyroid-associated ophthalmopathy
黄勇志 1何剑峰1
作者信息
- 1. 广西医科大学第一附属医院眼科(在读研究生)中国人民解放军第三○三医院眼科,广西南宁 530021
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摘要
Abstract
Objective:To discuss surgery effect about extraocular myopathy in patients with Thyroid -associated ophthalmopathy . Methods:The surgical management of strabismus in 13 cases with Thyroid -associated ophthalmopathy who received extraocular muscle surgery in our hospital were retrospectively analyzed .Nine cases were males and 4 were females,ranging in age from 28 to 61 years(mean:46 years).All patients were Vertical strabismus.The preoperative deciation of all cases was 25°to 45°.The patients were followed up for 3 ~18 months.Postoperative results were divided into 2 categories:successful outcome :orthotropia, or deviation ≤5°,there was no di-plopia or residual little diplopia could being corrected by low degree prism in primary position or reading position ,compensatory head pos-ture disappeared;Failure:deviation >5°in primary position,There are persistent diplopia that it was not easy being corrected by prism in primary position or reading position ,Compensatory head posture could not being significantly improved .Results:All patients accepted sin-gle vertical rectus recession .Postoperatively,76.9% patients were orthotropic in primary position , rebuilded binocular field of single vi-sion.There was small residual deviation (≤5°) in primary position in 15.4%patients .All patients could significantly improve compensa-tory head posture. Surgical success rate was 92.8%.Diplopia could not being eliminated in secondary positions .Postoperative eyeball motility improved markedly .Serious complications were not found .Conclusion:The surgical management of extraocular myopathy in pa-tients with TAO was safe and effective after inflammation disappeared and stable eye position , single rectus recession could correct large deviation in patients with restrictive strabismus , It could significantly improve diplopia and compensatory head posture .关键词
甲状腺相关性眼病/眼外肌病变/手术Key words
Thyroid-associated ophthalmopathy/Extraocular myopathy/Surgery分类
医药卫生引用本文复制引用
黄勇志,何剑峰..甲状腺相关性眼病眼外肌病变的手术治疗[J].中国伤残医学,2016,24(2):6-9,4.
