横向偏手术的结果和影响手术成功的因素
Rojeeta Parajuli1, Srijana Adhikari, Manish Poudel
1Tilganga Institute of Ophthalmology, Gaushala, Kathmandu, Nepal.
概括
尼泊尔眼手术的结果表明,较小的手术前偏差导致更好的手术成功. 较大的手术前偏差显著降低了水平斜视手术的成功率.
科学领域:
- 眼科医生 眼科 眼科
- 外科手术的结果
- 眼的管理 管理 管理
背景情况:
- 眼手术旨在改善眼睛对齐,双眼和生活质量.
- 横向斜视的手术成功率各不相同 (56.3-86.5%) 并取决于多种因素.
- 关于尼泊尔眼患病率和外科手术结果的数据有限.
研究的目的:
- 为了评估水平眼手术的结果.
- 确定影响眼患者手术成功的因素.
主要方法:
- 在TIO (2017-2020年) 进行了首次横向斜视手术的206名患者的回顾性评估.
- 包括至少3个月的随访患者;不包括限制性,性和垂直.
- 成功定义为<10镜二光透 (PD) 偏差在手术后6周;分析了影响因素.
主要成果:
- 分析了194名患者的数据;大多数 (59.8%) 的患者年龄在6-18岁之间,外极性 (63.9%) 是最常见的.
- 整体运动对齐成功率为44.3%;融合和立体镜显著改善了手术后 (P<0.001).
- 较小的术前偏差与更好的术后成功有很强的相关性 (P<0.001);年龄,性别和双眼并不是显著因素.
结论:
- 手术前的偏差是决定横向的手术成功的主要因素.
- 在患有较大的手术前偏差的患者中,手术成功率明显较低.
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