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在使用二氧化碳激光进行过关节膜造形术后的下直肠肌肉热损伤

Hee Young Choi¹, Seung Ahn Yang², Jung Hyo Ahn²

¹Department of Ophthalmology, Pusan National University Hospital, Pusan National University School of Medicine, Biomedical Research Institute Pusan National University Hospital, Busan.

The Journal of craniofacial surgery

|October 3, 2024

概括

激光膜整形可以造成下直肠肌肉损伤,导致持续的垂直双眼视. 涉及肌肉转移的手术纠正改善了对齐,但没有完全恢复眼睛的运动.

科学领域:

眼科医生眼科眼科
眼科手术眼科手术

背景情况:

碳二氧化激光在经结膜白造形术中的使用带有风险.
下直肠肌的热损伤会导致眼睛运动的显著缺陷.

研究的目的:

报告一个在激光白造术后下直肠肌肉脱落和热损伤的病例.
描述这种特定并发症的手术管理和结果.

主要方法:

一位患者在激光白造术后出现垂直双眼.
探索性手术显示下直肠肌肉脱落和热损伤.
随后的斜视手术涉及直肠肌肉的垂直转移.

主要成果:

患者出现了垂直双眼视和向下看的限制.
下直肠肌肉受到热损伤,并脱离了它的插入.
移植手术后,垂直对齐有所改善,但向下看的动力仍然有限.

结论:

激光辅助白造形术可能导致严重的阳性眼外肌损伤.
虽然眼手术可以纠正对齐,但不能总是实现完全的功能恢复.
谨慎的手术技术至关重要,以防止眼睛肌肉受到热损伤.

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