手术治疗先天性眼震的异常头位  

SURGICAL TREATMENT OF ABNORMAL HEAD POSITION IN CONGENITAL NYSTAGMUS

作　　者：王为农[1] 张东杲[1] 章应华[1] 杨新光[1] 

机构地区：[1]第四军医大学唐都医院眼科,西安710038

出　　处：《中国美容医学》2002年第2期145-147,共3页Chinese Journal of Aesthetic Medicine

摘　　要：目的:用手术方法矫正先天性眼震患者的异常头位。方法:笔者用改良kestenbaum(5mm、6mm、7mm、8mm)法和增加手术量的改良Kestenbaum法随机选择手术治疗患者48例。手术适应证为异常头位≥15°者;对异常头位≥30°者,则增加改良Kestenbaum法手术量的40%-60%。结果:术后24例随访不少于6个月,48例患者平均随访12个月,异常头位由术前平均31.5°减少到5.1°,眼震强度由术前平均35.5Hz减少到9.6Hz;48例患者的86眼(89.58%)视力增加≥2行。结论:用改良kestenbaum法和增加手术量的改良kestenbaum法治疗先天性眼震患者的异常头位具有显著疗效。Objective: The surgical procedures for the correction of abnormal head positions in patients with congenital nystagmus be performed. Method: 48 patients had been treated by the augmented kestenbaum (5mm,6mm,7mm,8mm) procedure and the augmented modified kestenbaum procedure. The indication for operation was an abnormal head position≥15°. For patients with abnormal head turn≥30°,we used a 40%-60% augmented modified kestenbaum procedure. Results: Twenty-four patients were followed up at least 6 months, following their operation, The mean follow up was 12 months. After operation, the head position was decreased from 31.5°to 5.1°, the intensity of nystagmus was decreased form 35.5 Hz to 9.6Hz,86 eyes (89.58%) of 48 patients improved by two or more lines of Snellen visual acuity. Conclusion: The augmented kestenbaum procedures and the augmented modified kestenbaum procedures produce a marked correction for abnormal head positions in patients with congenital nystagmus.

关 键 词：先天性眼震 异常头位 手术治疗 

分 类 号：R777.46[医药卫生—眼科]