直肌单结膜小切口：一项初步可行性研究。

Single minimal conjunctival incision for rectus muscles: a pilot feasibility study.

作者信息

Tejedor Jaime, Gutiérrez-Carmona Francisco J

机构信息

Department Ophthalmology, Hospital Ramón y Cajal, C Colmenar km 9100, Madrid, 38034, Spain.

Department of Neuroscience, Universidad Autónoma de Madrid, Madrid, Spain.

出版信息

Ther Adv Ophthalmol. 2025 Jan 16;17:25158414241311256. doi: 10.1177/25158414241311256. eCollection 2025 Jan-Dec.

DOI:10.1177/25158414241311256

PMID:39831065

原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11736764/

Abstract

BACKGROUND

Small conjunctival incision size is desirable in strabismus surgery under topical anesthesia.

OBJECTIVE

To study the feasibility and tolerability of a small bulbar conjunctival incision (SB).

DESIGN

Non-randomized feasibility pilot study.

METHODS

After applying a 5-0 PGA (polyglycolic acid) traction suture, we did a 3-4 mm single conjunctival incision posterior and parallel to the rectus muscle insertion. A hang-back recession was done (6-0 PGA suture), and the conjunctiva closed (8-0 PGA suture). The outcome measures were feasibility, tolerability, and motor result.

RESULTS

Twenty-five patients were included. The median pain scale score was 3/10, and the satisfaction Net Promoter Score was 72. Mean duration of a recession was 12 min (range: 9-14 min). Mean duration of inflammatory signs and hemorrhage were 2.2 days (95% CI, 1.4-2.9), and 8.5 days (95% CI, 7.1-9.9), respectively. Distance deviation at 2 months was 3.1 Prism Diopters (95% CI, 1.5-4.5).

CONCLUSION

SB is feasible and well tolerated for extraocular rectus muscle surgery.

摘要

背景

在表面麻醉下进行斜视手术时，结膜切口小是可取的。

目的

研究小眼球结膜切口（SB）的可行性和耐受性。

设计

非随机可行性初步研究。

方法

应用5-0聚乙醇酸（PGA）牵引缝线后，在直肌附着点后方做一个3-4毫米的单一结膜切口并与直肌附着点平行。进行后徙悬吊术（6-0 PGA缝线），然后关闭结膜（8-0 PGA缝线）。观察指标为可行性、耐受性和运动结果。

结果

纳入25例患者。疼痛量表评分中位数为3/10，满意度净促进得分是72。后徙术的平均持续时间为12分钟（范围：9-14分钟）。炎症体征和出血的平均持续时间分别为2.2天（95%可信区间，1.4-2.9）和8.5天（95%可信区间，7.1-9.9）。2个月时的距离偏差为3.1棱镜度（95%可信区间，1.5-4.5）。