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題 名 | 斜視之手術治療(13)--續發性內斜視 |
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作 者 | 林惠朗; 李維倫; | 書刊名 | 中華民國眼科醫學會雜誌 |
卷 期 | 31:4 1992.12[民81.12] |
頁 次 | 頁71-77 |
分類號 | 416.7551 |
關鍵詞 | 手術治療; 續發性內斜視; 斜視; Consecutive esotropia; Motor drift; |
語 文 | 中文(Chinese) |
中文摘要 | 本篇以210位外斜視手術的病例,經過一年以上(平均2.6年)的追蹤檢查 來觀察續發性內斜視發生的情形。結果發現發生率隨時間越長越減少。發生率在 半年追蹤時為7.1(15/210),在一年追蹤時為6.7(14/210),在平均追蹤2.6年時為 5.2(11/210)。最後這11位續發性內斜視,大部分都是由於矯正過度(>5△)引起,佔 矯正過度之25.8(8/31)。由矯正正位引起的只有3.3(3/90),沒有一個係由矯正不足 引起。 在矯正過度群中,形成續發性內斜視群與回復群比較,我們發現前者有幾個特 點:(1)平均開刀年齡較大(14.9歲:8.86歲)。(2)原偏位角度較大(39.3△:31.8△)。(3) 術後矯正過度角度較大(15.3△:9.9△)。(4)有較明顯之遠視,兩眼不等視及不良之 兩眼同視能力為了得到最佳之最後矯正效果,本篇也建議較好的術後偏位角是輕 微的過度矯正在5-10△之間。 |
英文摘要 | The nature and Feature of consecutive esotropia were studied in 210 cases of exotropia who were operated for the first time and followed up for at least one year (average 2.6 years). The data showed that the occurrence rate was lower as the follow-up period longer. The occurrence rate was 7.1 at half year follow-up(15/210), 6.7 (14/210) atone year, and 5.2 (1 1/210) at the average 2.6 years. Most of the consecutive esotropia came from overcorrection(8/1 1), that comprised 25.8 of all the oveicorrected patients (8/31). In 90 orthocorrected cases, only 3 cases were resulted (3.3). No one was from under corrected patients. Among tlie overcorrected cases, as the consecutive group was compared with the group that turned to orthoposition, some statistically significant charcteristics were noted:1) older the mean age (14,9 y.: 8.86 y.), 2) larger preoperative angle (39.3△ : 31.8△), 3) more overcorrected deviation (15.3△:9.9△), 4) rather hyperopic, more anisometropic and poor binocularity. To achieve the best long-term results, this study suggested the preferred initial postoperative alignment was slight overcorrection (5-10△). |
本系統中英文摘要資訊取自各篇刊載內容。