单侧外直肌切除术治疗年龄相关性远距离内斜视
Treatment of age-related distance esotropia with unilateral lateral rectus resection.
作者信息
Yadav Sohraab, Young Jane, Voas-Clarke Claire, Marsh Ian B, Durnian Jon M
机构信息
Royal Liverpool University Hospital, Liverpool, UK.
Royal Liverpool University Hospital, Liverpool, UK.
出版信息
J AAPOS. 2014 Oct;18(5):446-8. doi: 10.1016/j.jaapos.2014.06.011. Epub 2014 Sep 27.
PURPOSE
To report the results of a series of patients who underwent lateral rectus resection of a single muscle using nonadjustable sutures to correct acquired concomitant esotropia (age-related distance esotropia).
METHODS
The medical records of patients with symptomatic age-related distance esotropia who were treated by unilateral lateral rectus resection were retrospectively reviewed. Pre- and postoperative near and distance prism diopter measurements were compared.
RESULTS
The average age of the patients was 79.8 years (range, 68-90 years). The mean lateral rectus resection was 4.9 ± 1.3 mm. All patients had complete resolution of diplopia after surgery. Median distance esotropia measurements in primary gaze were reduced from 16.0(Δ) preoperatively to 0(Δ) postoperatively (P < 0.005) at final follow-up. Any preoperative near esotropia was also completely resolved.
CONCLUSIONS
In this patient cohort, age-related distance esotropia was effectively managed solely with unilateral lateral rectus resection.
目的
报告一系列使用不可调节缝线进行单条外直肌切除术以矫正后天性共同性内斜视（年龄相关性远距离内斜视）患者的结果。
方法
回顾性分析接受单侧外直肌切除术治疗的有症状年龄相关性远距离内斜视患者的病历。比较术前和术后近用和远用棱镜度测量值。
结果
患者的平均年龄为79.8岁（范围68 - 90岁）。外直肌平均切除量为4.9±1.3毫米。所有患者术后复视均完全消失。末次随访时，原在位远距离内斜视的中位数测量值从术前的16.0（三棱镜度）降至术后的0（三棱镜度）（P < 0.005）。任何术前近用内斜视也完全消失。
结论
在此患者队列中，年龄相关性远距离内斜视仅通过单侧外直肌切除术即可有效治疗。
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