Helveston综合征手术治疗的临床分析  

Clinical analysis on surgical treatments of Helveston syndrome

作　　者：彭静[1] 惠娜[1] Jing Peng;Na Hui(Department of Ophthalmology,Xi＇an No.4 Hospital,Xi＇an 710004,Shaanxi Province,China)

机构地区：[1]中国陕西省西安市第四医院眼科,710004

出　　处：《国际眼科杂志》2018年第7期1356-1358,共3页International Eye Science

摘　　要：目的:探讨Helveston综合征的一次性手术治疗方法。方法:回顾分析我院眼科收治的7例14眼Helveston综合征患者,根据患者上斜肌亢进的程度和斜视程度,实施一次性手术治疗Helveston综合征。结果:患者7例14眼均行双眼上斜肌鞘内断腱术。其中3例6眼联合双眼外直肌后徙并一眼内直肌缩短术;4例4眼联合单眼外直肌后徙并内直肌缩短术。术后随访观察6mo,7例14眼术后眼位均正位,外斜A征消失,分离性垂直偏斜消失。儿童患者3例恢复双眼视功能和立体视觉。结论:Helveston综合征可以实施一次性手术治疗,且尽早手术治疗可帮助双眼视功能的恢复。AIM： To investigate single step combined surgical treatments of Helveston syndrome. METHODS： A retrospective clinical analysis of 7 cases（14 eyes）with Helveston syndrome in our hospital. There were 14 eyes underwent single step combined surgical treatments, according to the degree of patients with superior oblique overaction and strabismus. A-pattern, dissociated vertical deviation（DVD）, function of superior oblique and binocular visual function were examined and analyzed preoperatively and postoperatively. RESULTS： Bilateral superior oblique intrathecal tenectomy combined bilateral rectus recession were performed in 3 cases（6 eyes）. Bilateral superior oblique tenectomy combined unilateral rectus recession were performed in 4 cases（4 eyes）. The follow-up was 6mo; 14 eyes of 7 patients attained normal ocular alignment. A-pattern and DVD disappeared. Binocular vision and stereoscopic vision were recovered in 6 eyes of 3 children. CONCLUSION： Helveston syndrome can be treated with single step combined surgery, and early surgical treatments can help the recovery of binocular visual function.

关 键 词：HELVESTON综合征 上斜肌 双眼视功能 

分 类 号：R779.6[医药卫生—眼科]