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同种异体颞肌筋膜移植眼球固定术治疗限制性内斜视:1例介入性病例报告及文献复习

Globe fixation with homologous temporalis fascia transplant for treatment of restrictive esotropia strabismus: an interventional case report and review of the literature.

作者信息

Bagheri Abbas, Erfanian-Salim Reza, Salour Hossein, Yazdani Shahin

出版信息

Binocul Vis Strabolog Q Simms Romano. 2011;26(4):236-42.

PMID:22204550
Abstract

PURPOSE

To report a case of fat adherence complication syndrome after pterygium surgery, sufficiently severe enough to create a recurring significant extraocular motility problem and its ultimate novel and successful management.

METHOD

A 75 year old man was referred with an acquired large angle esotropia after pterygium surgery. Multiple previous strabismus surgeries to relieve the esotropia had already been performed but failed. Bilateral poor vision obviated complaints of diplopia but his binocular visual field was halved and his vision overall and his motility vision was handicapped by this limited ocular motility in his right eye. We therefore utilized homologous adjacent temporalis fascia transplantation for re-fixation of his frozen esotropic globe in primary position. Result of Surgery: Not only was the esotropia resolved but he also developed and regained some degree of abduction in this eye.

CONCLUSION

Homologous Temporalis fascia transplant can be used safely, for globe fixation in surgical treatment of severe restrictive strabismus.

摘要

目的

报告一例翼状胬肉切除术后脂肪粘连并发症综合征病例,该并发症严重到足以导致复发性显著的眼球运动问题,以及最终新颖且成功的治疗方法。

方法

一名75岁男性在翼状胬肉切除术后出现后天性大角度内斜视前来就诊。此前已进行多次斜视手术以缓解内斜视,但均失败。双眼视力差使他无复视主诉,但双眼视野减半,其整体视力和运动视力因右眼眼球运动受限而受到影响。因此,我们采用同种异体相邻颞肌筋膜移植术将他固定在原位置的内斜视眼球重新固定。手术结果:不仅内斜视得到解决,而且他的这只眼睛还出现并恢复了一定程度的外展。

结论

同种异体颞肌筋膜移植可安全用于严重限制性斜视手术治疗中的眼球固定。

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