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題名 | 先天性小眼症眼窠擴張治療之臨床觀察 |
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作者 | 尤景弘; 馬俐; 高錦弘; | 書刊名 | 中華民國眼科醫學會雜誌 |
卷期 | 34:2 1995.06[民84.06] |
頁次 | 頁96-103 |
分類號 | 416.75 |
關鍵詞 | 先天性小眼症; 眼窠擴張治療; Congenital microphthalmos; Socket expansion therapy; Prosthesis; |
語文 | 中文(Chinese) |
中文摘要 | 先天性小眼症是在胚胎發育早期眼球生長停滯所造成的先天異常。為了 改善病人的外觀,在臨床上最簡便的方法是在早期使用逐漸加大的眼窠成形器或 義眼來做眼窠擴張治療。分析過去十年(1985年一月到1994年七月)在長庚醫院眼 科做義眼治療且年紀小於十歲的患者,單側先天性小眼症共有23例。在接受眼窠 擴張治療後,這些病患在外觀上都獲得很大的改善。為了更客觀地瞭解治療的效 果,我們分析六例病患水平瞼裂長度改變的情形。這六個病例都是在兩歲之前就 開始接受治療而且能定期回診的病患。結果發現患眼水平瞼裂長度短小的情形在 治療後都有改善。而效果較不明顯的病例可能是治療前眼部異常的情形較嚴重或 治療開始得較晚。瞼裂大小的改變大約在2歲左右就趨於和緩。我們建議先天性 小眼症患者應儘早接受眼窠擴張治療,而嚴重異常的病例可以考慮輔以其它的治 療方式。 |
英文摘要 | Congenital microphthalmos is a rare ocularanomaly due to arrest of ocular growth and devel-opment in early fetal life. Clinically, socket expansiontherapy with progressive enlarging conformer andprosthesis in the early life is a simple and effectiveways of treatment for congenital microphthalmos. We retrospectively reviewed those cases youngerthen ten years refered to Chang Gung MemorialHospital for prosthesis during Jan. 1985 ot July 1994.There were 23 patients with unilateral congenitalmicrophthalmos receiving prosthetic treatment. Theresults showed marked improvement in generalappearance and no noticeable complications. Further objectively, changes in horizontal palpebral fissurelength were analysed to evaluate treatment effects in6 cases who received treatment before 2 years of ageand underwent regular follow-up. We found thatdeficits in horizontal palpebral fissure length areimproved in all cases. Changes in horizontal palpebralfissure length become stable after two years of age.Less satisfactory results may result from severeocular anomalies or later onset of treatment. Wesuggested that congenital microphthalmos shouldstart socket expansion therapy as early as possible,and other treatment modalities be considered later asadjuvant in severe cases. |
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