脊髓脊膜膨出患者斜视矫正的手术结果
Surgical results of strabismus correction in patients with myelomeningocele.
作者信息
Issaho Dayane Cristine, Tabuse Marcia Keiko Uyeno, Kamida Nilce Tiemi Shiwaku, Cronemberger Monica Fialho
机构信息
Department of Ophthalmology and Visual Sciences, Paulista School of Medicine, Federal University of São Paulo, São Paulo, Brazil.
出版信息
Arq Bras Oftalmol. 2015 Jan-Feb;78(1):15-8. doi: 10.5935/0004-2749.20150005.
PURPOSE
Myelomeningocele is one of the most common birth defects. It is associated with severe neurological deficiencies, and ocular changes, such as strabismus, are very common. The purpose of this study was to describe indications for strabismus surgery in patients with myelomeningocele and to evaluate the results achieved with surgical correction.
METHODS
We retrospectively reviewed records of all patients with myelomeningocele who underwent surgery for strabismus correction in a 5-year period in an institution for disabled children.
RESULTS
The main indications for strabismus surgery were esotropia and A-pattern anisotropia. Excellent surgical results were achieved in 60.9% of patients, satisfactory in 12.2%, and unsatisfactory in 26.9%.
CONCLUSION
Patients with myelomeningocele and strabismus had a high incidence of esotropia and A-pattern anisotropia. Strabismus surgery in these patients had an elevated percentage of excellent and satisfactory results, not only for the ocular deviation, but also for improvement of head posture.
目的
脊髓脊膜膨出是最常见的出生缺陷之一。它与严重的神经功能缺陷相关，眼部改变如斜视非常常见。本研究的目的是描述脊髓脊膜膨出患者斜视手术的指征，并评估手术矫正的效果。
方法
我们回顾性分析了一家残疾儿童机构在5年期间所有接受斜视矫正手术的脊髓脊膜膨出患者的记录。
结果
斜视手术的主要指征是内斜视和A型斜视性屈光参差。60.9%的患者手术效果极佳，12.2%满意，26.9%不满意。
结论
脊髓脊膜膨出合并斜视的患者内斜视和A型斜视性屈光参差的发生率很高。这些患者的斜视手术不仅在矫正眼位偏斜方面，而且在改善头位方面，获得极佳和满意效果的比例较高。
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