静止期甲状腺相关眼病患者眼外肌病变的手术治疗  

Extraocular muscle surgery in patients with stationary thyroid-associated ophthalmopathy

作　　者：张伟[1] 赵堪兴[1] 郭新[1] 杜翠琴[1] 马惠芝[1] 朱丽娜[1] 

机构地区：[1]天津眼科医院,300020

出　　处：《眼科研究》2005年第1期83-85,共3页Chinese Ophthalmic Research

摘　　要：　目的　探讨静止期甲状腺相关眼病(TAO)患者眼外肌病变的手术治疗时机、方法和效果。 方法　通过行被动牵拉试验,对 12例静止期TAO患者牵拉作用最明显的眼外肌施行后退术或悬吊术,手术前后检查眼位、眼球运动、双眼视等情况。 结果　11例患者症状均有明显改善,复视消失,眼球运动各方向到位, 4例立体视恢复或改善, 1例患者原在位复视消失,眼球运动有改善,但向某方向运动时仍有一定程度的限制。 结论　对静止期TAO患者眼外肌病变行手术治疗可有效消除复视、改善眼球运动。手术方法为解除限制性因素,退后或悬吊病变眼外肌。Objective To investigate the surgical timing of extraocular muscle surgery and its effect for stationary thyroid associated ophthalmopathy(TAO). Methods Extraocular muscle recession or suspension was performed on 12 patients with stationary TAO according to forced duction.Alignment,ocular movement,amblyoscope and binocular vision were observed before and after surgery. Results Clinical manifests were improved in 11 patients.Stereopsis was recovered in 4 patients.Diplopia symptom was disappeared,and no limitation of ocular movements was seen in 11 patients after surgery.Diplopia disappeared only in primary position,and there existed minimal limitation of ocular movement in 1 patient. Conclusion Extraocular muscle surgery for stationary TAO can eliminate diplopia and restore ocular movements.The surgical principle should strive to eliminate restrictive factors,while recession or suspension of extraocular muscle is indicative.

关 键 词：甲状腺相关眼病 眼外肌 复视 手术治疗 

分 类 号：R779.6[医药卫生—眼科]