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題名:以眼外肌截短術治療甲狀腺眼病變相關之斜視     (12點)
EXTRAOCULAR MUSCLE RESECTION FOR STRABISMUS CORRECTION IN DYSTHYROID OPHTHALMOPATHY
著者:鄭涵之(Han-Chih Cheng) ;賴慧群(Hui-Chun Lai) ;高玲玉(Ling-Yuh Kao) ;馬俐(Lih Ma) ;黃鐘瑩(Chung-Ying Huang) ;薛珮吟(Pei-Yin Hsueh) ;林耕國(Ken-Kuo Lin) ;楊孟玲(Meng-Ling Yang)
出版地區:台灣
出版城市:台北市
學科:醫學綜合
關鍵字:dysthyroid ophthalmopathy ; recession ; resection
刊名:中華民國眼科醫學會雜誌
卷期:49卷3期(2010.9)
頁碼:337-342
語言:繁體中文
摘要: 中文摘要PDF ; 英文摘要PDF

目的:評估以眼外肌截短(resection) 手術來治療甲狀腺眼病變相 關斜視的效果,並與傳統眼外肌徙後術(recession) 的結呆相比較。 方法:我們回溯收集本院2003 年到2008 年間,因甲狀腺眼病變 造成斜視而接受眼外肌手術的病例。並紀錄其眼球運動限制或複視的 持續時間、甲狀腺功能異常的持續時間、手術方法、術前和術後眼科 檢查的各項結果、是否接受過眼窩減壓術、以及追蹤的時間。 結果:在51 位病人中共有95條肌肉接受了徒後手術'依序是下 徙直肌42 條( 44.2% )、內直肌28 條( 29.5% )、上直肌21 條 ( 22.1 % )、及外直肌4 條(4.2% )。接受一次或一次以上肌肉徙後術 的成功率為79.6% 0 12 位病人除了肌肉徙後手術外,並接受了肌肉 截短手術。接受截短手術的肌肉共的條,分別是外直肌10 條 (66.7%) 、上直肌3 條(20.0%) 、和內直肌2 條(13.3%) 。整體而言, 病人在經過平均1.7 次(標準差:!::O.9 '範圍1-4) 的手術、平均25.5 士19.5 個月( 1 至83 個月)的追蹤之後, 90.2% 的病人能夠在正視 時沒有複視(包括使用稜鏡眼鏡的輔助)。 結論:對部分斜視角度較大的甲狀腺眼病變病人,當重複肌肉徙 後手術仍無法達到滿意的矯正效果時,若施行肌肉截短手術'可以得 到安全和有效的結果。
Purpose: To evaluate the effect of extraocular muscle resection surgery in the correction of the strabismus in dysthyroid opthalmopathy and compare this with traditional extraocular muscle recession surgery, Method: Retrospective study design, Fifty-one patients received extraocular muscle surgery for strabismus related to dysthyroid ophthalmopathy in Chang-Gung Memorial Hospital from 2003 -2008 Restriction of eye movements, duration of diplopia, history of orbital decompression, strabismus correction methods, and preoperative and postoperative ocular exarninations were recorded, Result: Of the 51 patients, ninety-five muscles were recessed, There were 42 inferior rectus muscles (44,2%),28 medial rectus muscles (29,5%), 21 superior rectus muscles (22,1 %), and 4 lateral rectus muscles (4,2%), The success rate of recession surgery was 79,6%, Twelve of the patients had additional resection surgery on 15 muscles, After a mean of 1.7 operations and a mean of 25.5 :!:: 19.5months (l-83months) follow-up time, 90.2o/t patients could view a single image without diplopia with a straight gaze. Conclusion: When repeated extraocular muscle recession surgery cannot provide satisfactory strabismus correction results, additional extraocular muscle resection surgery rnight be a safe and effective substitute method for some patients,


    

本卷期目次
中華民國眼科醫學會雜誌 49卷3期 (2010.9)
台灣砂眼防治之回顧/ 胡惠德胡芳蓉
REVIEW THE RECENT STUDIES OF MYOPIA/ Hui-Ju LinYung-Feng Shih
Atropine治療近視進行效能之回顧/ 施永豐林隆光蕭朱杏陳建仁洪伯廷
CURRENT DEVELOPMENT IN SPECTACLE LENS/ Pei-Yin HsuehJiahn-Shing LeeChiun-Ho HouMeng-Ling YangKen-Kuo Lin
CORNEAL ENDOTHELIITIS/ Hsueh-Yen ChuYih-Shiou HwangKen-Kuo LinDavid HK MaChing-Hsi Hsiao
乾眼症的治療新趨勢/ 李淑慧
結膜鬆弛/ 劉又綾林昌平
STERILE ENDOPHTHALMITIS FOLLOWING INTRAVITREAL TRIAMCINOLONE ACETONIDE:PSEUDOPHAKIA AS A RISK FACTOR/ Wei-Ting HoJia-Kang Wang
A COMPARISON OF CONVENTIONAL LASIK AND WAVEFRONT-GUIDED LASIK FOR THE CORRECTION OF RESIDUAL REFRACTIVE ERRORS AFTER MULTIFOCAL LENS IMPLANTATION/ Hung-Jui HsuShih-Chun ChaoChing-Yang LinYun-Chuan ChenHung-Yu Lin
THIN-FLAPLASER IN SITU KERATOMILEUSIS USING 90-μM CARRIAZO-PENDULAR MICROKERATOME:FLAP THICKNESS,COMPLICATIONS AND CLINICAL RESULTS/ Hung-Chou Lin
以眼外肌截短術治療甲狀腺眼病變相關之斜視/ 鄭涵之賴慧群高玲玉馬俐黃鐘瑩薛珮吟林耕國楊孟玲
ACUPUNCTURE INDUCED PENETRATING OCULAR INJURY/ Chen-Wei TangTong-Sheng LeeCheng-Kuo Cheng
TREATMENT OF SMALL-SIZED RETINAL HEMANGIOMA BY INTRAVITREAL BEVACIZUMAB(AVASTIN) INJECTION COMBINED WITH LASER PHOTOCOAGULATION/ Hsiao-Sang ChuPo-Ting YehMuh-Shy ChenKwan-Rong LiuChung-May Yang
ORBITAL COMPLICATIONS OF HYDROGEL SCLERAL BUCKLE--A CASE REPORT/ Jen-Hua HsuYen-Jui ChangChing-Yao TsaiShiow-Wen LiouLin-Chung Woung
PERIPHERAL PRIMITIVE NEUROECTODERMAL TUMOR OF THE LEFT MAXILLARY SINUS WITH ORBITAL INVASION:A CASE REPORT/ Shu-Wei ChuCheng-Hsien Chang
OCULAR SYPHILIS PRESENTED WITH RETINAL AND DISC NEOVASCULARIZATION:TWO CASE REPORTS/ Yu-Yin LaiLee-Jen ChenWei-Chun ChanShawn H.Tsai
CHOROIDAL METASTASIS AS THE MAIN PRESENTATION OF LUNG ADENOCARCINOMA:A CASE REPORT/ Cheng-Hsien HsuMing-Shan HeZei-Lun HuangRong-Kung Tsai
CONGENITAL LACRIMAL-CUTANEOUS FISTULA-INDUCED FACIAL CELLULITIS--A CASE REPORT AND REVIEW/ I-Chia LiangChi-Ming PuShih-Hung HuangChun-Chang LinShun-Ling Lin
SPONTANEOUS DISLOCATION OF A SMALL INTRAOCULAR LENS IN A PATIENT WITH HIGH MYOPIA--A CASE REPORT/ Chih-Chien HsuKo-Hua ChenShui-Mei Lee
TRAUMATIC CHOROIDAL RUPTURE:A CASE REPORT/ Jen WangYu-Shih Lin(Jack)Chien-Liang Wu
BILATERAL ACUTE ANGLE CLOSURE GLAUCOMA ATTACK FOLLOWING GENERALANESTHESIA IN PATENT-IRIDOTOMY EYES--CASE REPORT/ Kelly WenHsi-Ning ChuYi-Jie PengYi-Ting HsiehWei-Cherng Hsu
BILATERAL CORNEAL PERFORATION CAUSED BY OCULAR ROSACEA--A CASE REPORT/ Hui-Chuan ChungI-Lun TsaiHsiao-Cheng LinLi-Lin KuoChing-Yao TsaiShiow-Wen LiouLin-Chung Woung
AEROMONAS SOBRIA CORNEAL ULCER:A CASE REPORT/ Ming-Kai HsiaoJang-Jeu Jaw
 
   
 
   

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