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1
題名:TRANSNASAL ENDOSCOPIC APPROACH FOR ORBITAL DECOMPRESSION OF THYROID ORBITOPATHY--CASE REPORT     (10點)
以內視鏡經鼻腔行甲狀腺突眼減壓術-病例報告
著者:Cheng-Hsien Chang(張丞賢) ;Hwei-Zu Wang(王惠珠) ;Chih-Feng Tai(戴志峰)
出版地區:台灣
出版城市:台北市
學科:醫學綜合
關鍵字:Thyroid orbitopahty ; Decompression ; Endoscope
刊名:中華民國眼科醫學會雜誌
卷期:38卷1期(1999.3)
頁碼:92-96
語言:英語
摘要: 中文摘要PDF ; 英文摘要PDF

本文報告一甲狀腺突眼症,經鼻腔以內視鏡行眼窩減壓術合併外側減壓術之成功病例。一名45歲男性病人因長期甲狀腺亢進造成突眼及眼瞼收縮。右眼也因此角膜潰瘍而必須轉診來之前接受眼瞼緣縫合術。經過一段時間之口服類固醇及人工淚液點眼治療之後,我們給予病人雙眼之眼窩減壓術。兩邊皆以外側眼眶切開術行外側眼窩減壓術合併內側及部分眼窩底減壓術。而在右側則經皮下行篩房切除術來做內側及眼窩底減壓術;而左側則經鼻腔以內視鏡行減壓術。四個月後,無眼外肌及眼球轉動障礙,因此接著行左右兩眼上、下眼瞼放鬆術。術後追?六個月右眼最佳矯正視力從術前可辨手指數進步至0.4。而左眼則維持術前0.9。兩眼突眼術後均減少6毫米。術後無雙眼複視及其他後遺症。
A 45 year-old male patient suffered from a severe proptosis and eyelid retraction due to long-term hyperthyroidism. Atrophic corneal ulcer occurred in his right eye, and a partial lateral tarsorrhaphy was done in that eye before referral to out clinic. After a period of medical treatment with oral prednisolone and artificial tear eyedrops, orbital decompression was scheduled. Bilateral lateral orbits were decompressed in conjunction with inferomedial wall decompressions. In the right orbit, an external ethmoidectomy was done, while in the left, a transnasal endoscopic approach was used to remove the inferomedial wall. Four months after the decompression, no morbidity of the extraocular muscles or other complications ensued. So, bilateral recessions of upper and lower eyelid were done. In a follow up of 6 months, the vision of the right eye returned from counting finger preoperatively to 0.4 best corrected. The vision of the left eye remained the same at 0.9. Proptosis was reduced for 6mm by the Hertel exophthalmometry on both eyes. There was no binocular diplopia or other complications.


    

本卷期目次
中華民國眼科醫學會雜誌 38卷1期 (1999.3)
INDOCYANINE GREEN ANGIOGRAPHIC FEATURES IN IDIOPATHIC SUBFOVEAL CHOROIDAL NEOVASCULARIZATION/ Wei-Li ChenPing-Kang HouMuh-Shy Chen
A TWO YEARS STUDY OF CORNEAL TOPOGRAPHIC STABILITY FOLLOWING RADIAL KERATOTOMY/ Sung-Huei TsengJia-Jane LeuFred K Chen
眼底缺損合併小眼角膜-家族病例報告/ 王錦銘陳建同周秉義
全身性紅斑狼瘡急性發作期導致暫時性高度近視及結膜水腫--病例報告/ 梁中玲李瑞鋒郭錫恭賴盈州鄭添財
RECONSTRUCTION OF LARGE ORBITAL FRACTURES WITH HIGH-DENSITY POROUS POLYETHYLENE CHANNEL IMPLANTS/ Yu-Hong LaiCheng-Hsien ChangHwei-Zu Wang
老年性?斑部病變之境界不明脈絡膜新生血管的灌流變化/ 陳世真李鳳利楊昌叔林伯剛李安斐劉榮宏
碳酸酐?抑制劑6-Hydroxyethoxy-2-benzothiazole Sulfonamide靜脈注射後之兔眼藥物動力學/ 呂大文高繼文江樵熹張澶榮林秋燕
碳酸酐?抑制劑6-Hydroxyethoxyzolamide局部點眼後之兔眼藥物動力學/ 呂大文江樵熹張澶榮林秋燕
Carteolol(ArteopticR)之臨床評估及心血管作用-內因性擬交感神經作用之探討/ 陳美如周清光劉榮宏
復興鄉色覺調查/ 高玲玉史麗珠林淑梅梁有松
高雄地區九所高中職專二年級學生近視狀況與環境因素之研究/ 陳文甲王惠珠李穎勳吳孟憲陳育芬許俊傑陳正僓
台中市中小學生斜視罹患率之調查/ 林慧茹廖惠芬李揚銘黃韻如蔡慶皇黃瓊瑢陳宏任林正介李采娟
經濟簡便的後房人工水晶體鞏膜固定術/ 陳家祿王泰元劉秀雯林人傑邱正仁
NOCARDIA ASTEROIDES CORNEAL ULCER--A CASE REPORT/ Ching-Liang KuoHui-Kang MaRay Jui-Fang Tsai
ISOLATED MYOSITIS OF THE LEVATOR MUSCLE/ Inn-Yaing LeeJeng-Shyong Shyu
TRANSNASAL ENDOSCOPIC APPROACH FOR ORBITAL DECOMPRESSION OF THYROID ORBITOPATHY--CASE REPORT/ Cheng-Hsien ChangHwei-Zu WangChih-Feng Tai
小兒巧克力囊腫的血液動力分析-病例報告/ 林宜蓉康孟?
 
   
 
   

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