甲状腺相关性眼病眼外肌病变的手术治疗

甲状腺相关性眼病眼外肌病变的手术治疗

黄勇志;何剑峰

【期刊名称】《中国伤残医学》

【年(卷),期】2016(024)002

【摘要】Objective:To discuss surgery effect about extraocular myopathy in patients with Thyroid -associated ophthalmopathy . Methods:The surgical management of strabismus in 13 cases with Thyroid -associated ophthalmopathy who received extraocular muscle surgery in our hospital were retrospectively analyzed .Nine cases were males and 4 were females,ranging in age from 28 to 61 years(mean:46 years).All patients were Vertical strabismus.The preoperative deciation of all cases was 25°to 45°.The patients were followed up for 3 ~18 months.Postoperative results were divided into 2 categories:successful outcome :orthotropia, or deviation ≤5°,there was no di-plopia or residual little diplopia could being corrected by low degree prism in primary position or reading position ,compensatory head pos-ture disappeared;Failure:deviation >5°in primary position,There are persistent diplopia that it was not easy being corrected by prism in primary position or reading position ,Compensatory head posture could not being significantly improved .Results:All patients accepted sin-gle vertical rectus recession .Postoperatively,76.9% patients were orthotropic in primary position , rebuilded binocular field of single vi-