或切除结合对手衰退在横向的斜视
Esra AlSahaf1, Fatemah T AlShamlan1
1Department of Ophthalmology, Division of Pediatric Ophthalmology, Dhahran Eye Specialist Hospital, Dhahran, Saudi Arabia.
Medical hypothesis, discovery & innovation ophthalmology journal
|August 29, 2024
概括
在与对手肌肉衰退相结合时,横向的复合和切除手术显示出类似的有效性. 这两种程序在以热带和外带管理方面都提供了相似的成功率和结果.
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:
- 眼外肌肉强化是一种标准的斜视治疗方法.
- 复合提供了一个不那么侵入性的替代方案来切除肌肉增强.
- 这项研究评估了在管理横向偏时的复制与切除.
研究的目的:
- 为了比较复制与切除的疗效,每一种结合对手肌肉衰退.
- 为了评估水平偏管理的成功率和眼睛偏差的变化.
主要方法:
- 对患者进行回顾性研究,这些患者患有横向偏,经历了与对手衰退的复制或切除.
- 收集的数据包括人口统计数据,眼类型,手术剂量和手术前后偏差角度.
- 成功定义为术后偏差≤10镜二光透 (PD).
主要成果:
- 44名患者 (19例复制,25例切除) 显示了类似的结果 (P > 0.05).
- 成功率相似 (73.7%的复制与64.0%的切除),临床上有意义的差异为9.7%.
- 异质组亚组显示出临床上有意义的差异,与异质组相比,两组的成功率都更高.
结论:
- 复制和切除,当与对手衰退相结合时,对于热带和外带一样有效.
- 建议进行进一步的大规模随机化研究以进行全面评估.
- 这两种技术都显示出可比的过度/不足校正率和偏差角度的类似变化.
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