內斜視手術治療之新理論－初報

A New Rationale for the Management of Large Angle Esotropia-A Preliminary Report

李淑美(Shui-Mei Lee) ； 陳晟康(Shung-Kang Chen) ； 蔡三章(San-Chang Tsai) ； 劉榮宏(Jorn-Hon Liu)

《中華民國眼科醫學會會刊》 27卷1期 (1988/05) Pp. 299-303

https://doi.org/10.30048/ACTASOS.198805.0053

摘要

本篇報告以兩側內直肌退縮6~7mm來治療大角度內斜視的初步治療情形與結果。由民國75年11月至民國76年11月共收集內斜視角度大於40△以上的病人18位。手術前以移動性A-Scan超音波儀測量兩眼球之眼軸長度，然後估計適當的退縮量。手術後平均追踪期為4.5個月。結果：行退縮手術6 mm一組者，其成功率為62%，其中有15%病人再經另一次手術治療。而行退縮手術7mm一組者，成功率為80%。所有病人在追踪期間均無眼球運動障碍情形。

並列摘要

We collected 18 large angle esotropia patients with the deviation angle over 40 prism diopters. The patients were performed bimedial rectus recession of 6mm or more which was larger than traditional recession.
These surgical operations were desinged on the basis of A-Scan ultrasonography. We performed bimedial rectus recession of 6mm in the group of axial length under 20mm. Otherwise, we performed bimedial rectus recession of 6-7mm in the group of axial length over 20mm.
In cases of 6mm group, the surgical cure rate was 62% and 15% of patients received secondary muscle operation. In cases of 7mm group, the cure rate was 80%. There was no limitation of eye ball movement throughout the follow up period.

並列關鍵字

large angle esotropia ； axial length ； A-Scan ultrasonography ； bimedial recession