神经功能受损儿童的眼位矫正及斜视手术结果
Ocular alignment and results of strabismus surgery in neurologically impaired children.
作者信息
Can Ciğdem Ülkü, Polat Sibel, Yaşar Meryem, Ilhan Bayazıt, Altıntaş Ayşe Gül Koçak
机构信息
Ministry of Health Ulucanlar Eye Education and Research Hospital, 3 Clinic Ankara, Turkey.
出版信息
Int J Ophthalmol. 2012;5(1):113-5. doi: 10.3980/j.issn.2222-3959.2012.01.23. Epub 2012 Feb 18.
AIM
To evaluate ocular alignment and surgical results of strabismus surgery in neurologically impaired children.
METHODS
Files of 33 neurologically impaired squint children were evaluated. Twelve patients had cerebral palsy(CP), 4 had CP with mental retardation, therest had mental-motor retardation of unknown cause. Cycloplegic refractions, type and angle of strabismus, surgeries performed were recorded.
RESULTS
Mean follow-up was 34.0±16.5 months. Twenty-three patients had esodeviation, the remaining had exodeviation. In 19 patients, angle of deviations measured at different visits were highly variable. Twelve patients with stable angle of deviations or with unstable but high angle deviations had horizontal muscle surgery. Mean horizontal deviation decreased from 43.75±10,69 D to 12.83±8.38 D with surgery.
CONCLUSION
In neurologically impaired strabismic children, surgery is effective in patients with stable deviations or unstable but high angle deviations. Decision for surgery should be made after a long follow up period.
目的
评估神经功能受损儿童斜视手术的眼位矫正情况及手术效果。
方法
对33例神经功能受损的斜视儿童病历进行评估。其中12例患有脑瘫（CP），4例患有脑瘫合并智力障碍，其余患有原因不明的精神运动发育迟缓。记录睫状肌麻痹验光结果、斜视类型和角度以及所施行的手术。
结果
平均随访时间为34.0±16.5个月。23例为内斜视，其余为外斜视。19例患者不同就诊时测量的斜视角度变化很大。12例斜视角度稳定或虽不稳定但角度较大的患者接受了水平肌手术。手术后平均水平斜视度从43.75±10.69棱镜度降至12.83±8.38棱镜度。
结论
对于神经功能受损的斜视儿童，手术对斜视角度稳定或虽不稳定但角度较大的患者有效。手术决策应在长期随访后做出。
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