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白内障手术后持续性双眼复视。

Persistent binocular diplopia after cataract surgery.

作者信息

Hamed L M, Helveston E M, Ellis F D

出版信息

Am J Ophthalmol. 1987 Jun 15;103(6):741-4. doi: 10.1016/s0002-9394(14)74385-5.

DOI:10.1016/s0002-9394(14)74385-5
PMID:3591871
Abstract

We reviewed the records of 38 consecutive patients who had persistent binocular diplopia after cataract surgery. The patients were divided into ten categories based on the suspected conditions underlying the diplopia. Of 16 patients who underwent strabismus surgery, five achieved the therapeutic goal of single binocular vision in the primary and reading position, and four attained this with prismatic or botulinum toxin therapy in addition to surgery. Seven patients continued to have diplopia despite strabismus surgery and adjunctive therapy. Even small residual deviations were often intolerable, because of highly diminished fusional amplitudes.

摘要

我们回顾了38例白内障手术后持续双眼复视患者的病历。根据复视潜在的可疑情况,将患者分为十类。在接受斜视手术的16例患者中,5例在第一眼位和阅读位达到了双眼单视的治疗目标,4例除手术外还通过棱镜或肉毒杆菌毒素治疗达到了这一目标。7例患者尽管接受了斜视手术和辅助治疗仍持续存在复视。由于融合幅度大幅降低,即使是很小的残余斜视通常也难以耐受。

相似文献

1
Persistent binocular diplopia after cataract surgery.白内障手术后持续性双眼复视。
Am J Ophthalmol. 1987 Jun 15;103(6):741-4. doi: 10.1016/s0002-9394(14)74385-5.
2
Persistent binocular diplopia following cataract surgery: aetiology and management.白内障手术后持续性双眼复视:病因及处理
Eye (Lond). 1994;8 ( Pt 5):543-6. doi: 10.1038/eye.1994.134.
3
Persistent diplopia and strabismus after cataract surgery under local anesthesia.局部麻醉下白内障手术后持续性复视和斜视
Binocul Vis Strabismus Q. 2006;21(3):155-8.
4
[Nonoperative treatment of diplopia after IOL implantation].[人工晶状体植入术后复视的非手术治疗]
Klin Oczna. 2006;108(10-12):405-8.
5
[Diplopia through toxic myopathy after cataract surgery].
Oftalmologia. 2008;52(4):77-82.
6
Binocular diplopia in unilateral aphakia: the role of botulinum toxin.单侧无晶状体眼的双眼复视:肉毒杆菌毒素的作用
Eye (Lond). 1991;5 ( Pt 4):447-50. doi: 10.1038/eye.1991.72.
7
[Post-cataract surgery diplopia: etiology and treatment].[白内障手术后复视:病因与治疗]
Arch Soc Esp Oftalmol. 2000 Sep;75(9):581-7.
8
Persistent vertical binocular diplopia after cataract surgery.白内障手术后持续性垂直性双眼复视
Am J Ophthalmol. 2001 Dec;132(6):831-5. doi: 10.1016/s0002-9394(01)01233-8.
9
Elimination of paradoxical diplopia following treatment with botulinum toxin and prism.肉毒杆菌毒素和棱镜治疗后矛盾性复视的消除
Binocul Vis Strabismus Q. 2004;19(1):35-8.
10
The correction of diplopia after cataract extraction.白内障摘除术后复视的矫正。
Ann Ophthalmol. 1993 Mar;25(3):110-8.

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Survey of Ehlers-Danlos Patients' ophthalmic surgery experiences.Ehlers-Danlos 患者眼科手术体验调查。
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2
Diplopia as the Complication of Cataract Surgery.复视为白内障手术的并发症
J Ophthalmol. 2016;2016:2728712. doi: 10.1155/2016/2728712. Epub 2016 Feb 21.
3
Risk factors of persistent diplopia following secondary intraocular lens implantation in patients with sensory strabismus from uncorrected monocular aphakia.未矫正的单眼无晶状体眼所致感觉性斜视患者二期人工晶状体植入术后持续性复视的危险因素。
Graefes Arch Clin Exp Ophthalmol. 2016 Jan;254(1):129-33. doi: 10.1007/s00417-015-3223-8. Epub 2015 Nov 25.
4
Strabismus following implantable anterior intraocular lens surgery.可植入式前房型人工晶状体手术后的斜视
Int Ophthalmol. 2014 Feb;34(1):117-20. doi: 10.1007/s10792-013-9744-4. Epub 2013 Mar 23.
5
Usefulness of magnetic resonance imaging in a patient with diplopia after cataract surgery.
Graefes Arch Clin Exp Ophthalmol. 2012 Jan;250(1):151-3. doi: 10.1007/s00417-010-1580-x. Epub 2010 Dec 14.
6
Change in ocular alignment after topical anesthetic cataract surgery.表面麻醉下白内障手术后眼位的变化
Graefes Arch Clin Exp Ophthalmol. 2009 Sep;247(9):1269-72. doi: 10.1007/s00417-009-1084-8. Epub 2009 Apr 30.
7
Anomalies of binocular function in patients with longstanding asymmetric keratoconus.长期不对称圆锥角膜患者的双眼功能异常。
Br J Ophthalmol. 2001 Sep;85(9):1057-60. doi: 10.1136/bjo.85.9.1057.
8
Exotropia secondary to vitreous hemorrhage.玻璃体出血继发外斜视。
Graefes Arch Clin Exp Ophthalmol. 1997 Mar;235(3):143-8. doi: 10.1007/BF00941721.
9
Regional anaesthesia for intraocular surgery.眼科手术的区域麻醉
Can J Anaesth. 1993 Jul;40(7):635-57. doi: 10.1007/BF03009701.