单边与双边侧面直直体衰退对小到中等角度外向变形的纠正
Rehab Rashad Kassem1, Rokaya Emad Radwan2, Randa Mohamed Abdel-Moneim El-Mofty2
1Ophthalmology Department, Kasr Alainy Hospital, Cairo University, Cairo, Egypt. rehabrkassem@hotmail.com.
International ophthalmology
|October 17, 2024
概括
单边和双边侧面直肠 (LR) 衰退的成功率与外向的成功率相似. 建议在偏差高达25镜二光时单边LR衰退,避免衰退大于10毫米.
科学领域:
- 眼科医生 眼科 眼科
- 眼 手术 整形外科
- 儿科眼科医生 儿科眼科医生
背景情况:
- 外otropia 是一种常见的视的形式,其特点是眼睛的外向偏差.
- 手术纠正通常涉及到削弱眼外肌肉,例如侧直肠 (LR) 肌肉.
- 在单边和双边的外科手术方法之间的选择是管理外向的关键考虑因素.
研究的目的:
- 为了比较单边与双边侧面直肠 (LR) 衰退的疗效和结果,在患有小到中度外向性病的患者中.
- 评估每种手术方法的成功率,不足和过度纠正,以及侧面入侵和有限导管的发生率.
主要方法:
- 一项回顾性研究分析了154名患有异质性 (14-35镜二光透视) 患者的记录,这些患者经历了单边 (第一组) 或双边 (第二组) LR衰退.
- 手术成功被定义为在经过至少3个月的术后随访时,水平热带的0-10镜透视器.
主要成果:
- 总体而言,成功率相似:单边衰退的83%,双边衰退的82.2% (p=0.976).
- 单边衰退在偏差高达25 prism diopters时表现出更高的成功率,所有失败都归因于校正不足.
- 在单边衰退 (29.5%) 后,与双边 (2.3%) (p<0.001) 相比,持续的横向事件发生频率明显高,特别是在10毫米衰退后.
结论:
- 单边和双边的LR衰退都是对外热带的有效手术选择,提供类似的成功率.
- 单边LR衰退在偏差高达25镜二光时是建议的,前提是衰退不超过10毫米.
- 仔细考虑衰退金额至关重要,以最大限度地降低横向事件的风险,特别是单边程序.
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