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一名曾因孔源性视网膜脱离接受巩膜扣带手术的近视患者出现重度眼综合征：鉴别诊断与处理

Heavy eye syndrome in a myopic patient with prior scleral buckle surgery for rhegmatogenous retinal detachment: Differential diagnosis and management.

作者信息

Alarfaj Motazz, Al-Owaid Abdullah, Alkhaldi Hamdah, Elkhamary Sahar, Sesma Gorka

机构信息

Pediatric Ophthalmology and Strabismus Division, King Khaled Eye Specialist Hospital, Riyadh, Saudi Arabia.

Department of Ophthalmology, Imam Abdulrahman Bin Faisal University, Dammam, Saudi Arabia.

出版信息

Am J Ophthalmol Case Rep. 2022 Feb 15;26:101418. doi: 10.1016/j.ajoc.2022.101418. eCollection 2022 Jun.

DOI:10.1016/j.ajoc.2022.101418
PMID:35243158
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC8858879/
Abstract

PURPOSE

To present a challenging case of heavy eye syndrome (HES) in a 56-year-old female who previously underwent scleral buckle surgery in both eyes.

OBSERVATIONS

Ophthalmic tests indicated a diagnosis of HES, confirmed using pre and postoperative magnetic resonance imaging (MRI). A silicone band loop myopexy was performed, successfully improving large angle esotropia at primary position and motility.

CONCLUSIONS AND IMPORTANCE

MRI is essential to correctly identify HES, allowing a tailored surgical intervention that may lead to better outcomes for patients. Up to our knowledge, this is the first reported case of scleral fixated silicone band loop myopexy for HES in a previously scleral buckled patient.

摘要

目的

介绍一例56岁女性的重度眼睑综合征（HES）挑战性病例，该患者此前双眼均接受过巩膜扣带手术。

观察结果

眼科检查表明诊断为HES，通过术前和术后磁共振成像（MRI）得以证实。进行了硅胶带袢肌固定术，成功改善了第一眼位和眼球运动时的大角度内斜视。

结论与重要性

MRI对于正确识别HES至关重要，可实现针对性的手术干预，从而可能为患者带来更好的治疗效果。据我们所知，这是首例报道的在先前接受过巩膜扣带术的患者中针对HES行巩膜固定硅胶带袢肌固定术的病例。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c62d/8858879/ce5e36f1b017/gr3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c62d/8858879/b14111c332b8/gr1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c62d/8858879/06b8f45b1135/gr2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c62d/8858879/ce5e36f1b017/gr3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c62d/8858879/b14111c332b8/gr1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c62d/8858879/06b8f45b1135/gr2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c62d/8858879/ce5e36f1b017/gr3.jpg

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Loop Myopexy Surgery for Strabismus Associated with High Myopia.用于治疗高度近视相关性斜视的环形肌固定术
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Heavy eye syndrome versus sagging eye syndrome in high myopia.高度近视中的重度眼综合征与下垂眼综合征
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Silicone band loop myopexy in the treatment of myopic strabismus fixus: surgical outcome of a novel modification.硅胶带袢肌固定术治疗固定性内斜视：一种新型改良术式的手术效果
Br J Ophthalmol. 2015 Jan;99(1):36-40. doi: 10.1136/bjophthalmol-2014-305166. Epub 2014 Aug 4.
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