眼外肌肉移植手术用于初级治疗超大角
Adedayo O Adio1, Chinyelu N Ezisi2, Elizabeth D Nkanga3
1Pediatric Eye Clinic, Department of Ophthalmology, University of Port Harcourt Teaching Hospital Port Harcourt, Rivers State, Nigeria.
Journal of ophthalmic & vision research
|July 26, 2024
概括
肌肉移植提供了一种可行的手术选择,用于纠正大角度水平偏,在成人和儿童中实现显著的偏差减少. 这种技术提供了一个成功的替代方案,特别是在发展中国家,具有良好的长期成果.
科学领域:
- 眼科医生 眼科 眼科
- 手术技巧 手术技巧
- 斯特拉比斯摩斯的管理管理
背景情况:
- 大角度水平眼部偏差往往需要双边手术.
- 患者不愿意在没有偏差的眼睛上接受手术,这是一个挑战.
- 真正的肌肉移植被探索为显著水平偏差的替代方案.
研究的目的:
- 介绍一系列患者的病例,这些患者接受了真正的眼外肌肉移植,以治疗大角度水平斜视.
- 开发一个手术表来指导这种病例的管理.
- 评估肌肉移植在纠正眼睛显著偏差方面的有效性.
主要方法:
- 包括患有80镜透视 (PD) 或更大的水平视的患者.
- 在2019年1月至2022年6月期间进行过眼外肌肉移植.
- 记录了手术前的偏差,感官评估,手术剂量和结果;成功定义为>=60%的偏差校正或<=10 PD对齐在6周.
主要成果:
- 14名患有超大角偏视的患者 (平均手术前偏差为89.6 PD) 显著改善.
- 手术后的偏差降低至6周后平均6.6个PD,6个月后平均2.5个PD.
- 在不同的年龄组和感官条件中观察到成功的结果.
结论:
- 真正的肌肉移植是一种可行的替代方案,用于治疗成人和儿童的超大角视.
- 该程序显示了良好的术后结果,特别是在发展中国家.
- 为肌肉移植开发了一个扩展的外科剂量表,可达130个PD.
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