手术治疗先天性特发性眼球水平震颤28例  

Surgical treatment of idiopathic congenital nystagmus of 28 cases

作　　者：赵德宣[1] 刘亚男[1] 

机构地区：[1]安徽省阜阳市人民医院眼科,236004

出　　处：《蚌埠医学院学报》2010年第7期689-691,共3页Journal of Bengbu Medical College

摘　　要：目的:探讨先天性特发性眼球震颤及合并水平斜视的手术治疗方法。方法:对28例先天性特发性眼球震颤及合并水平斜视的患者,采用主导眼中间带移位术联合斜视眼斜视矫正术+内外直肌后巩膜固定术。结果:28例患者主导眼第1眼位视力均提高2行以上,代偿头位消失26例(92.86%),双眼正前方无眼颤或很轻微26例(92.86%)。部分患者双眼视功能较术前有所好转。结论:对合并水平斜视的先天性特发性眼球震颤行主导眼中间带移位术联合斜视矫正术+直肌后巩膜固定术,不仅能改善原在位视力,还能使正前方眼颤基本消失。Objective：To explore a surgical method of idiopathic congenital nystagmus with horizontal strabismus.Methods：Twenty-eight cases suffered from idiopathic congenital nystagmus with horizontal strabismus were applied with the operation correction of neutral zones in the main eye,and horizontal strabismus correction in another eye with posterior fixation suture of the rectus muscles.Results：Of the 28 cases,visual acuity of all the main eyes was inproved over two lines than before.Compensatory head-posture was disappeared for 26 cases（92.86%）.Both eyes look in the front directed no nystagmus or slight nystagmus for 26 cases（92.86%）.The binocular vision for some cases were in proved after operation.Conclusions：The operation correction of neutral zones in the main eye and horizontal strabismus correction in another eye for idiopathic congenital nystagmus with horizontal correction and posterior fixation suture of the rectus muscles could not only improve the visual acuity,but also basically cure the nystagmus looking in the front.

关 键 词：眼球震颤 先天性 特发性 外科手术 

分 类 号：R777.46[医药卫生—眼科]