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下斜肌后徙术后黄斑厚度变化的评估

Evaluation of macular thickness change after inferior oblique muscle recession surgery.

作者信息

Turan-Vural Ece, Unlu Cihan, Erdogan Gurkan, Aykut Aslan, Bayramlar Huseyin, Atmaca Fatih

机构信息

Haydarpasa Trainnıng and Research Hospital Ophthalmology Clinic, Istanbul, Turkey.

出版信息

Indian J Ophthalmol. 2014 Jun;62(6):715-8. doi: 10.4103/0301-4738.136230.

Abstract

PURPOSE

This study aimed to evaluate the changes in macular thickness following inferior oblique muscle recession surgery.

MATERIALS AND METHODS

Thirty-eight eyes from 21 patients undergoing ocular muscle surgery were included. Patients were grouped into three groups based on the type of surgical intervention: Group I (n = 12), inferior oblique recession surgery alone; Group II (n = 12), inferior oblique plus horizontal muscle surgery; Group III (n = 14), horizontal muscle surgery alone. Each eye was scanned using the optical coherence tomography (OCT) device preoperatively and on the first postoperative day to measure macular thickness.

RESULTS

Following surgery, a significant increase in foveal thickness occurred in Group I (P < 0.05) and Group II (P < 0.01). In addition, a statistically significant difference was observed between the groups with regard to the increase in foveal thickness (P = 0.016), with significantly lower changes in Group III.

CONCLUSION

Our findings suggested that inferior oblique muscle recession surgery is associated with an increase in macular thickness.

摘要

目的

本研究旨在评估下斜肌后徙术对黄斑厚度的影响。

材料与方法

纳入21例接受眼肌手术患者的38只眼。根据手术方式将患者分为三组:第一组(n = 12),单纯下斜肌后徙术;第二组(n = 12),下斜肌联合水平肌手术;第三组(n = 14),单纯水平肌手术。术前及术后第1天使用光学相干断层扫描(OCT)设备对每只眼进行扫描,测量黄斑厚度。

结果

术后,第一组(P < 0.05)和第二组(P < 0.01)的中央凹厚度显著增加。此外,各组间中央凹厚度增加存在统计学差异(P = 0.016),第三组变化显著较低。

结论

我们的研究结果表明,下斜肌后徙术与黄斑厚度增加有关。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ceaf/4131326/d6e875acbdc2/IJO-62-715-g001.jpg

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