巩膜扣带术后的眼球运动障碍：一项病例系列研究。
Ocular movement disorders following scleral buckling surgery: A case series study.
作者信息
Akbari Mohammad Reza, Mirmohammadsadeghi Arash, Makateb Ali, Ghassemi Fariba, Norooznezhad Amir Hossein, Khodabande Alireza, Kadivar Sakineh, Mohammadzadeh Vahid
机构信息
Eye Research Center, Farabi Eye Hospital, Tehran University of Medical Sciences, Tehran, Iran.
Eye Research Center, Amiralmomenin Eye Hospital, Guilan University of Medical Sciences, Rasht, Iran.
出版信息
J Curr Ophthalmol. 2018 Oct 7;31(2):195-200. doi: 10.1016/j.joco.2018.09.004. eCollection 2019 Jun.
PURPOSE
To evaluate ocular movement disorders after scleral buckling surgery (SBS) for retinal detachment.
METHODS
In this prospective, observational, case series, 206 patients (206 eyes) with rhegmatogenous retinal detachment who underwent SBS and investigated at the strabismus ward of Farabi Eye Hospital in Iran between November 2011 and November 2014 were assessed. Patients were followed from 6 to 36 months after SBS to evaluate for strabismus. Logistic regression analysis test and SPSS software version 20 were used for statistical analysis.
RESULTS
From 206 patients, 56.8% were male, and 33.2% were female. For scleral buckle in 44.7% of patients, silicone band and tire (SBT) was used, and in 55.3%, a sponge. Among all patients, seven (3.39%) exhibited ocular movement disorder. There was no significant relation between type of buckle ( = 0.65) or the location of buckle ( = 0.56) and movement disorder.
CONCLUSION
Ocular movement disorder is one of the main complications after SBS without specific association between the type and location of exoplanet.
目的
评估巩膜扣带术（SBS）治疗视网膜脱离后的眼球运动障碍。
方法
在这个前瞻性、观察性病例系列研究中，对2011年11月至2014年11月期间在伊朗法拉比眼科医院斜视病房接受SBS治疗的206例（206只眼）孔源性视网膜脱离患者进行了评估。患者在SBS术后6至36个月进行随访以评估斜视情况。采用逻辑回归分析测试和SPSS 20软件进行统计分析。
结果
206例患者中，56.8%为男性，33.2%为女性。44.7%的患者使用硅酮带和轮胎（SBT）进行巩膜扣带，55.3%的患者使用海绵。所有患者中，7例（3.39%）出现眼球运动障碍。扣带类型（P = 0.65）或扣带位置（P = 0.56）与运动障碍之间无显著关系。
结论
眼球运动障碍是SBS术后的主要并发症之一，与外植体的类型和位置无特定关联。
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