阿诺德-奇亚里I型畸形继发内斜视的非手术治疗：一例报告

Nonsurgical treatment for esotropia secondary to Arnold-Chiari I malformation: A case report.

作者信息

Baxstrom Curtis R

机构信息

Northwest Vision and Learning Center, Pacific University College of Optometry, Forest Grove, Oregon, USA.

出版信息

Optometry. 2009 Sep;80(9):472-8. doi: 10.1016/j.optm.2009.06.010.

DOI:10.1016/j.optm.2009.06.010

PMID:19716074

Abstract

A 14-year-old girl with diplopia and esotropia secondary to Arnold-Chiari I malformation was surgically treated with Arnold-Chiari I malformation decompression (suboccipital craniectomy), C1 and partial C2 laminectomy, and duraplasty. The residual esotropia was treated with compensatory prisms and vision therapy more than 1 year after Arnold-Chiari malformation surgery. The esotropia was resolved after approximately 3.5 months of treatment. Five years later, the patient continued to maintain fusion without compensatory prism.

摘要

一名14岁患有因阿诺德-奇亚里I型畸形继发复视和内斜视的女孩接受了手术治疗，包括阿诺德-奇亚里I型畸形减压术（枕下颅骨切除术）、C1和部分C2椎板切除术以及硬脑膜成形术。在阿诺德-奇亚里畸形手术后1年多，残留的内斜视采用补偿棱镜和视觉疗法进行治疗。经过约3.5个月的治疗，内斜视得到矫正。五年后，患者无需补偿棱镜即可持续保持双眼融合。