Raleigh Eye and Face Plastic Surgery (PM), Raleigh, North Carolina; Departments of Ophthalmology (RM) and Neurology and Neurotherapeutics and Ophthalmology (DIF), University of Texas Southwestern Medical Center, Dallas, Texas; and Department of Ophthalmology (JAG), Mayo Clinic, Rochester, Minnesota.
J Neuroophthalmol. 2021 Jun 1;41(2):246-250. doi: 10.1097/WNO.0000000000000916.
Conventional treatment options for trochlear pain arising from trochleitis or primary trochlear headache include oral anti-inflammatory medications and/or local injection of corticosteroids and local anesthetic. Trochleaectomy is an additional option to consider for monocular patients with intractable trochlear pain.
We report 3 patients undergoing trochleaectomy for refractory trochlear pain syndromes.
Trochleaectomy resulted in resolution of their periocular discomfort.
Trochleaectomy is an effective procedure to treat trochlear pain syndrome in functionally monocular patients.
滑车疼痛源于滑车炎或原发性滑车头痛，常规治疗选择包括口服抗炎药和/或皮质类固醇和局部麻醉药的局部注射。对于单眼且滑车疼痛顽固的患者，滑车切除术也是一种额外的考虑选择。
我们报告了 3 例因难治性滑车疼痛综合征而行滑车切除术的患者。
滑车切除术使他们的眶周不适得到缓解。
滑车切除术是治疗功能性单眼滑车疼痛综合征的有效方法。
