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[表面麻醉下下直肌后退术治疗甲状腺眼眶病]

[Recession of the inferior rectus muscle in superficial anesthesia in the treatment of thyroid orbitopathy].

作者信息

Koniszewski G, Zagórski Z

出版信息

Klin Oczna. 1989 Jun;91(6):180-1.

PMID:2632984
Abstract

Recession of the inferior rectus in surface anaesthesia by 5% cocaine drops was performed in 8 patients with signs of hypotropia in the course of thyroid orbitopathia and with diplopia persisting after conservatory treatment and not corrected by prisms. This method enables us an accurate intraoperative settlement of the distance of recession and it may be recommended in cases metabolically normalized, with not too much advanced exophthalmos, with a stability of the motor disturbances for at least 6 months and without any signs of inflammation.

摘要

对8例甲状腺眼眶病伴下斜视体征、经保守治疗后仍有复视且棱镜不能矫正的患者,用5%可卡因滴眼液在表面麻醉下进行下直肌后徙术。该方法能使我们在术中准确确定后徙距离,对于代谢已正常、眼球突出不太严重、运动障碍稳定至少6个月且无任何炎症迹象的病例,可推荐使用。

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