眼眶二壁减压术治疗12例Graves眼病压迫性视神经病变  

Clinical results of two orbital walls decompression for 12 cases of compressive optic-neuropathy

作　　者：何为民[1] 罗清礼[1] 曾继红[1] 夏瑞南[1] 

机构地区：[1]华西医科大学附属第一医院眼科,成都610041

出　　处：《中华眼底病杂志》2001年第4期303-304,共2页Chinese Journal of Ocular Fundus Diseases

基　　金：卫生部科学研究基金资助 (98- 1 - 2 1 9)

摘　　要：目的　评价眼眶减压术治疗压迫性视神经病变的疗效。　方法　对 12例患者 14只 Graves眼病合并压迫性视神经病变眼施行了二壁眶减压术 ,减压骨壁尽量靠近眶尖。　结果　 14只眼术后均能完全闭合。视力提高 11只眼 ,基本不变 2只眼 ,下降 1只眼。眼球突度平均减少 4.0 mm。　结论　二壁眶减压术是治疗 Graves眼病压迫性视神经病变的有效方法。Objective To evaluate the effectiveness and safety of orbital decompression for compressive optic-neuropathy. Methods Fourteen eyes of twelve cases with Graves opthalmopathy and compressive optic-neuropathy undergone two orbital walls decompression with the follow-up period of more than 3 months were analyzed. Results The effect of complete closure of palpebral fissure was attained in all of the postoperative eyes and the visual acuity was increased in eleven eyes, remained no change in two eyes and decreased in one eye. The mean value of the recession of exophthalmic eyes after operation was mean 4 0 mm. Conclusion Two orbital walls decompression is an effective method for compressive optic-neuropathy in Gaves ophthalmopathy.

关 键 词：压迫性视神经病变 眼眶二壁减压术 GRAVES眼病 适应证 

分 类 号：R779.6[医药卫生—眼科]