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内分泌性眼病中斜视的管理

Managing strabismus in endocrine eye disease.

作者信息

Skov C M, Mazow M L

出版信息

Can J Ophthalmol. 1984 Oct;19(6):269-74.

PMID:6388758
Abstract

In Graves' ophthalmopathy, now considered a separate autoimmune disorder, 15% of patients have a motility disorder. This is usually a restrictive strabismus, most often involving the inferior rectus muscle, and is diagnosed with the aid of forced duction testing, saccadic velocity measurement, binocular visual field testing and prism cover testing. Adjustable sutures may be used, depending on the intraoperative findings. The case presentations in this paper demonstrate the principles of diagnosis and treatment.

摘要

在目前被视为一种独立自身免疫性疾病的格雷夫斯眼病中,15%的患者存在眼球运动障碍。这通常是一种限制性斜视,最常累及下直肌,可通过强迫牵拉试验、扫视速度测量、双眼视野测试和三棱镜遮盖试验进行诊断。根据术中发现,可使用可调节缝线。本文中的病例展示了诊断和治疗原则。

相似文献

1
Managing strabismus in endocrine eye disease.内分泌性眼病中斜视的管理
Can J Ophthalmol. 1984 Oct;19(6):269-74.
2
Treatment of thyroid ocular myopathy with adjustable and nonadjustable suture strabismus surgery.可调式与非可调式缝线斜视手术治疗甲状腺相关性眼病性眼肌病
Trans Am Ophthalmol Soc. 1993;91:67-79; discussion 79-84.
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Superior oblique muscle involvement in thyroid ophthalmopathy.甲状腺眼病中的上斜肌受累
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Diagnosis and surgical management of strabismus associated with thyroid-related orbitopathy.甲状腺相关眼病伴斜视的诊断与手术治疗
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[Graves' orbitopaty: inferior rectus tendon elongation for large vertical squint angles that cannot be corrected by simple muscle recession].[格雷夫斯眼眶病:用于治疗无法通过单纯肌肉后徙矫正的大垂直斜视角度的下直肌肌腱延长术]
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Bilateral inferior rectus muscle recession for correction of hypotropia in dysthyroid ophthalmopathy.双侧下直肌后徙术用于矫正甲状腺相关眼病的下斜视。
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[Strabismus surgery in Grave's disease--dose-effect relationships and functional results].[格雷夫斯病的斜视手术——剂量效应关系及功能结果]
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Intraoperative suspension-recession technique for treatment of vertical strabismus in thyroid myopathy.术中上睑提肌缩短术治疗甲状腺肌病性垂直斜视
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Safety stitch: a modification to postoperatively adjustable suture strabismus surgery of the inferior rectus muscle.安全缝线:下直肌术后可调节缝线斜视手术的一种改良方法。
Binocul Vis Strabismus Q. 2007;22(4):210-5.
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Comparison of two different surgical techniques for the treatment of strabismus in dysthyroid ophthalmopathy.两种不同手术技术治疗甲状腺功能异常性眼病斜视的比较。
J AAPOS. 2007 Jun;11(3):258-61. doi: 10.1016/j.jaapos.2006.10.021.

引用本文的文献

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Long-term surgical outcome and impact on daily life activities of strabismus surgery in thyroid-associated ophthalmopathy with and without previous orbital decompression.甲状腺相关眼病伴或不伴先前眶减压的斜视手术后的长期手术结果及其对日常生活活动的影响。
Head Face Med. 2024 Apr 1;20(1):22. doi: 10.1186/s13005-024-00423-3.
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Advances in the Treatment of Thyroid Eye Disease Associated Extraocular Muscle Myopathy and Optic Neuropathy.甲状腺眼病相关眼外肌肌病和视神经病变的治疗进展。
Curr Neurol Neurosci Rep. 2022 Jun;22(6):313-325. doi: 10.1007/s11910-022-01194-7. Epub 2022 May 26.
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The Outcome of One-to-Four Muscle Surgery by Intraoperative Relaxed Muscle Positioning with Adjustable Suture Technique in Thyroid Eye Disease.
甲状腺眼病中采用术中松弛肌肉定位结合可调节缝线技术进行单条至四条肌肉手术的疗效
Clin Ophthalmol. 2021 Sep 11;15:3833-3839. doi: 10.2147/OPTH.S333377. eCollection 2021.
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Management of Thyroid Eye Disease-Related Strabismus.甲状腺眼病相关斜视的管理
J Curr Ophthalmol. 2020 Mar 23;32(1):1-13. doi: 10.1016/j.joco.2019.10.002. eCollection 2020 Jan-Mar.
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Surgical Responses of Medial Rectus Muscle Recession in Thyroid Eye Disease-Related Esotropia.甲状腺眼病相关性内斜视中内直肌后徙术的手术反应
PLoS One. 2016 Jan 21;11(1):e0146779. doi: 10.1371/journal.pone.0146779. eCollection 2016.
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The role of thyroid eye disease and other factors in the overcorrection of hypotropia following unilateral adjustable suture recession of the inferior rectus (an American Ophthalmological Society thesis).甲状腺眼病及其他因素在单眼下直肌可调缝线后徙术治疗下斜视过度矫正中的作用(美国眼科学会论文)
Trans Am Ophthalmol Soc. 2011 Dec;109:168-200.
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Treatment of thyroid ocular myopathy with adjustable and nonadjustable suture strabismus surgery.可调式与非可调式缝线斜视手术治疗甲状腺相关性眼病性眼肌病
Trans Am Ophthalmol Soc. 1993;91:67-79; discussion 79-84.