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頁籤選單縮合
題名 | The Surgical Outcome of Strabismus in Patients with General Fibrosis Syndrome=先天性纖維化症候群之斜視病人的手術預後 |
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作者 | 魏利真; 楊孟玲; 馬俐; 徐紅娜; | 書刊名 | 長庚醫學 |
卷期 | 28:3 2005.03[民94.03] |
頁次 | 頁159-165 |
分類號 | 416.7551 |
關鍵詞 | 先天性纖維化症候群; 斜視; 手術預後; General fibrosis syndrome; Strabismus; Surgical outcome; |
語文 | 英文(English) |
中文摘要 | Background: This study investigates the clinical features of strabismus in patients with general fibrosis syndrome (GFS) and the results of surgery performed on such patients. Methods: We conducted a retrospective review of patients with GFS who visited our clinic at Chang Gung Memorial Hospital between 1 August 1992 and 31 January 2002. After evaluating the family histories of 9 patients with GFS, patients were given a complete ophthalmic evaluation. Myectomies of the inferior rectus muscle were performed to correct hypotropia and recessions and/or resections of medial rectus and/or lateral rectus were performed to correct esotropia or exotropia, respectively. The post-operative conditions of the survey patients were reviewed for at least 6 months after the completion of the procedures. Results: Six patients (67%) were identified with inherited autosomal dominance. All patients displayed the characteristic ‘chin-up’ position, limited extraocular muscle movement and eye abnormalities. High astigmatism (>=-2.0 diopter) was noted in 9 eyes (50%) and amblyopia was noted in all cases. With regard to vertical eye deviation, 11 eyes (61%) were corrected through myectomy of the inferior rectus muscle to within 5[] as measured using a Hirschberg test. Furthermore, three cases (33%) were complicated by lower scleral show. Conclusion: The presence of GFS complicates the surgical correction of strabismus making procedure results more difficult to predict. Strabismus surgery has been demonstrated to reduce eye deviation in the primary position, thus improving patients’ head posture. The resulting improvements to cosmetic appearance and functionality lead us to recommend that strabismus surgery be performed in conjunction with ptosis surgery for GFS patients. |
英文摘要 | 背景:本研究探討先天性纖維化症候群之斜視病人的臨床特徵及手術預後。 方法:本篇共收集九位先天性纖維化症候群病人,除詳細詢問家族史外並作詳細眼部理學檢查,包括眼位、眼球運動、眼裂測量、屈光檢查、最佳矯正視力檢查等。以下直肌切開術來矯正下斜視,以內、外直肌放鬆或切除術來矯正內、外斜視。術後追蹤六個月以上。 結果:67%病人為體染色體顯性遺傳,50%有高度散光(>=-2.0屈光度),全部病人都有弱視。61%的病人下斜視可矯正於Hirschberg test五度內;至於水平眼位,以一般手術經驗來計算手術量,內斜視者易矯正過量,外斜視者易矯正不足。有33%的眼睛有輕微鞏膜露出的情形。 結論:先天性纖維化症候群之斜視病人的手術預後較一般斜視手術難預測,雖然斜視手術對增進眼球運動幫助不大,但對矯正下斜視並矯正下顎上傾的頭位是很有幫助的。本結果顯示此斜視手術對病人的外觀及功能都有幫助,所以可在上眼皮下垂矯正手術時同時作斜視矯正手術。 |
本系統之摘要資訊系依該期刊論文摘要之資訊為主。