上直肌与外直肌联合手术治疗近视性固定性斜视：三缝线法与单缝线法对比

Superior rectus and lateral rectus muscle union surgery in the treatment of myopic strabismus fixus: three sutures versus a single suture.

作者信息

Farid Mohamed Fathy, Elbarky Ahmed Mohammed, Saeed Ahmed Mohamed

机构信息

Department of Ophthalmology, Benha Faculty of Medicine, Benha University, Benha, Egypt; Department of Ophthalmology, Benha University Hospital, Benha, Egypt.

Department of Ophthalmology, Benha Faculty of Medicine, Benha University, Benha, Egypt.

出版信息

J AAPOS. 2016 Apr;20(2):100-5. doi: 10.1016/j.jaapos.2015.11.015.

DOI:10.1016/j.jaapos.2015.11.015

PMID:27079588

Abstract

PURPOSE

To compare results of superior rectus and lateral rectus muscle union surgery (SR-LR union) performed using three sutures versus a single suture in the treatment of myopic strabismus fixus.

METHODS

The medical records of patients who underwent SR-LR union for myopic strabismus fixus between July 2012 and August 2014 were retrospectively reviewed. The primary outcome measures were changes in ocular deviation and degree of limitation of ocular motility.

RESULTS

A total of 20 eyes of 10 patients were included: 6 patients in the three-suture group and 4 in the single-suture group. At final follow-up, mean esotropia in the three-suture group improved from 93.3(Δ) ± 23.5(Δ) to 21.6(Δ) ± 8.7(Δ); in the single-suture group, from 102.5(Δ) ± 15.5(Δ) to 50(Δ) ± 9.1(Δ). Mean hypotropia improved in the three-suture group from 13.8(Δ) ± 4.6(Δ) to 1.6(Δ) ± 1.9(Δ); in the single-suture group, from 14.25(Δ) ± 4.3(Δ) to 3(Δ) ± 2.5(Δ). Mean abduction limitation in the three-suture group decreased from -3.6 ± 1.3 to -0.9 ± 0.6; in the single-suture group, from -4.3 ± 1.1 to -3.12 ± 0.8. Mean limitation of elevation decreased in the three-suture group from -3.1 ± 1.3 to -1.4 ± 1.08; in the single-suture group, from -3.7 ± 1.2 to -2.8 ± 0.5.

CONCLUSIONS

In this cohort of myopic strabismus fixus patients, three-suture SR-LR union was superior to single-suture surgery in improving esotropia and limitation of ocular motility.

摘要

目的

比较使用三根缝线与单根缝线进行上直肌与外直肌联合手术（SR-LR联合术）治疗近视性固定性斜视的效果。

方法

回顾性分析2012年7月至2014年8月期间接受SR-LR联合术治疗近视性固定性斜视患者的病历。主要观察指标为眼位偏斜的变化及眼球运动受限程度。

结果

共纳入10例患者的20只眼，其中三根缝线组6例，单根缝线组4例。末次随访时，三根缝线组平均内斜视从93.3（三棱镜度）±23.5（三棱镜度）改善至21.6（三棱镜度）±8.7（三棱镜度）；单根缝线组从102.5（三棱镜度）±15.5（三棱镜度）改善至50（三棱镜度）±9.1（三棱镜度）。三根缝线组平均下斜视从13.8（三棱镜度）±4.6（三棱镜度）改善至1.6（三棱镜度）±1.9（三棱镜度）；单根缝线组从14.25（三棱镜度）±4.3（三棱镜度）改善至3（三棱镜度）±2.5（三棱镜度）。三根缝线组平均外展受限从-3.6±1.3降至-0.9±0.6；单根缝线组从-4.3±1.1降至-3.12±0.8。三根缝线组平均上抬受限从-3.1±1.3降至-1.4±1.08；单根缝线组从-3.7±1.2降至-2.8±0.5。