先天性特发性眼球震颤手术疗效观察.pdfVIP

· 18· 实用防盲技术2008年2月第3卷第1期 先天性特发性眼球震颤手术疗效观察 蒋祥哲扬万锋张侠景成英 【摘要】目的 为探讨先天性特发性眼球震颤手术治疗设计方法 效果 方法28例患者采用改O．．parks5—6—7—8法加减的 原则，对头位扭转角、合并水平斜视和垂直斜视一次矫正，而转角的手术帚没计在注视 I ，而转角矫正后带来的斜视度 变化与原斜视度叠加或抵消后，把矫正斜视的手术晕设计在斜视眼 J 。结果28例患者术后观察324个月，原在位双眼视力 均较术前提高2—4 ，原在位眼颤明 减轻或消失，代偿头位基本消失者26例(92．8％1，所有伴斜视的患者外观矫正效果 满意，结论我们的体会足手术前明确注视lJ ，中问带位置，而转方向及角度，斜视性质埂斜视度，以及它们之间的相互关 系是正确设计手术前提。palks法适合矫正代偿头位15。的先天性特发性眼球震蓟。 【关键词】先天性U 球震颤；改~parks法；． 术疗效 Observation of operation on children on congenital idiopathic nystagmus ／Z4ANXz)ug．-zhe． G Im一 n斗ZzHA X l ～G Cheng-wr~．TheDep~utmelltofOphthalmo]rg9：WiukeJ：~ho．wite#．Bozhou 4zJhu／2~6XOq．t jml , 【Abstract】0bjective To discuss the design rind en ‘’t of operations 01 1 eotlge!dtal idiopathic nystagmus．Mthods Modified Parks operations were Ilsed to treat 28 crises with cougenital idiopathic nystagmus．Tnrsion angle of head．1evel；11lI1 vertical st1ahismns were corrected in one operation．Design of smge~r seale fin’torsion angle of head WtlS tleeOlc!ing to main eye．After the eolTeetion of torsion angle of head．degree of strabismns changed．and design of smgery SCttle for it was according to st1a1)ismus eye．Results 28 cases were followed lJp 3 to 24 months postoperatively．All f~ases had 2 to 4 lines improvement in visual acuity．Nystagmns was disappeared or olMous relieved in all C,~lses．Cnmpensalory head Dositi(m was eliminated in 26 eases(92．8％1．All eLises with stlahismus got satisfied correction．Conclusion The main eve，position of nelltr~l zone，the(1ireeti()11 flf angle of hea,l t()r~ion，degree of stra1)ismus antl theil‘ connections are important points f=(1I．design of the surge13r．Modified Pm’ks operation is snitable tn treat congenital idiopathic nystagmus with 15-degree eolnpensatory head posili．n． 【Key words】Congenital idiopathic nyshlglnlls,Molified Parks operation；Smgical effect 先天性特发性眼球震颤(Congenital idiopathic 2000年1