Helveston综合征的特点及手术方法  

Characteristics and surgical treatment methods of Helveston syndrome

作　　者：田春慧[1] 任芬花[1] 雷秀丽[1] 连丽英[1] 袁瑞芝[1] 白玉[1] 

机构地区：[1]河北省邯郸市眼科医院,056001

出　　处：《中国斜视与小儿眼科杂志》2017年第3期22-24,共3页Chinese Journal of Strabismus & Pediatric Ophthalmology

摘　　要：目的探讨Helveston综合征的临床特点和手术方法。方法回顾分析Helveston综合征患者29例,分析其临床特点、手术方法及术后眼位及双眼视功能情况。结果 29例病例术后正位28例(96.6%),A征消失26例(89.7%),A征由术前的14.24~△±5.13~△减少为5.21~△±4.32~△;术后原在位垂直斜视度由术前的11.87~△±5.37~△减少为5.11~△±1.78~△;手术前后的外斜视、A征及DVD的斜视度均有显著性差异,P<0.05。术后8例恢复双眼视觉,3例恢复立体视功能。结论 Helveston综合征一次手术同时矫正外斜A征、上斜肌功能过强和DVD效果良好。Objective To investigate the characteristics and surgical methods of Helveston syndrome.Methods 29 cases of Helveston syndrome were studied.Post-operative eye positions, A-pattern,DVD,function of superior oblique and binocular visual function were examined and analyzed.Results For 29 cases, post-operative orthotorpi were 28 cases （96.6%）.A-pattern were corrected in 26 cases（89.7%） and A-pattern from 14.24^△±5.13^△ reduced to 5.21^△±4.32^△.Post-operative vertical deviation in primary position average from 11.87^△±5.37^△reduced to 5.11^△±1.78^△. There were significant differences,P〈0.05.8 cases have binocular vision and 3 cases stereopsis post-operative.Conclusions Correcting Helveston syndrome include A-pattern, superior oblique over function and DVD achieved good effect by one surgery.

关 键 词：HELVESTON综合征 手术 外斜视 

分 类 号：R779.6[医药卫生—眼科]