Mourits M P, Koorneef L, van Mourik-Noordenbos A M, van der Meulen-Schot H M, Prummel M F, Wiersinga W M, Berghout A
University of Amsterdam, The Netherlands Orbital Centre.
Br J Ophthalmol. 1990 Aug;74(8):481-3. doi: 10.1136/bjo.74.8.481.
We analysed the results of extraocular muscle surgery in 38 patients with stable Graves' ophthalmopathy. Fixed sutures were used in all patients. A useful field of binocular single vision was achieved in 27 patients (71%) after one operation and in seven patients (18%) after more than one, whereas double vision was persistent in four (11%). No recurrence of diplopia was seen during one year of follow-up. No differences were found in duration of eye disease, angle of deviation, or in prior forms of treatment between patients who responded well to a single operation and those who needed more surgical procedures or those who responded less well. We conclude that, although the individual outcome cannot be predicted, every patient with diplopia and stable Graves' ophthalmopathy has an 89% chance of binocular single vision after extraocular muscle surgery. Prior treatment does not appear to influence this outcome.
我们分析了38例稳定期格雷夫斯眼病患者的眼外肌手术结果。所有患者均采用固定缝线。一次手术后，27例患者（71%）获得了有用的双眼单视视野，7例患者（18%）在一次以上手术后获得了该视野，而4例患者（11%）复视持续存在。随访一年期间未发现复视复发。对单次手术反应良好的患者、需要更多手术治疗的患者以及反应较差的患者之间，在眼病持续时间、偏斜角度或既往治疗方式方面均未发现差异。我们得出结论，尽管无法预测个体结果，但每一位患有复视且处于稳定期格雷夫斯眼病的患者在接受眼外肌手术后有89%的机会获得双眼单视。既往治疗似乎不会影响这一结果。
