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頁籤選單縮合
題 名 | Astigmatic Change Following Congenital Ptosis Surgery=先天性眼瞼下垂術後之散光變化 |
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作 者 | 高淑卿; 蔡傑智; 李淑美; 劉榮宏; | 書刊名 | 中華醫學雜誌 |
卷 期 | 61:12 1998.12[民87.12] |
頁 次 | 頁689-693 |
分類號 | 416.703 |
關鍵詞 | 弱視; 不等視; 散光; 眼瞼下垂; 斜視; Amblyopia; Anisometropia; Astigmatism; Ptosis; Strabismus; |
語 文 | 英文(English) |
中文摘要 | 背景臨床上先天性眼瞼下垂的患者常伴隨著高度散光,而眼瞼下垂手術後也可能 造成散光軸與度數的變化,甚至產生弱視。本文的主要目的,在於評估先天性眼瞼下垂的患 者術後散光的變化及採取不同矯正手術方法之影響。 方法共收集預備接受先天性眼驗下垂手術的患者63位。術前先評估先天性眼瞼下垂的患者 伴有不等視、弱視、斜視和高度散光的發生率,並在28位(12位雙側和16位單側,共 40隻眼)接受定期追蹤達12個月以上者,分析術後散光的變化及採取不同手術方法之差 別。單側先天性眼瞼下垂的病患,以其對側正常眼當作對照組。 結果在63例先天性眼臉下垂的患者中,30.2 %伴有不等視,39.7 %有弱視, 11.1 %有 斜視。在25例弱視中,大部份伴有高度散光( 64 %)。高度散光( >25D )佔所有病患 的 25.3 %。 40隻眼瞼下垂眼術後12個月散光變化的研究, 散光增加超過 0.5D 的有 15 %,散光減少 0.5D 以上者佔 27.5 %,總散光變化平均減少 0.18D。 與對照組比較並 無統計上之差異。若將接受眼瞼提肌切除術以及瞼額縫吊術分開討論,術後總平均散光度數 都減少,但兩組並無統計上之差異。 結論我們發現先天性眼瞼下垂的患者的確有較高比率的高度散光,且術後也確實造成部份散 光的變化,但沒有新的弱視病例發生。我們建議這類病人應盡早接受睫狀肌麻痺後之屈光檢 查,尤其對於在幼兒早期即接受眼瞼下垂手術的兒童,更應在術後作定期之屈光檢查,以預 防弱視產生的可能。 |
英文摘要 | Background. High astigmatism is frequently associated with congenital ptosis. Ptosis surgery itself may also induce astigmatic refractive change that will cause amblyopia in young children. The purpose of this study was to assess postoperative astigmatic change and the effect of different ptosis surgical procedures on astigmatism. Methods. An analysis of 63 consecutive surgical cases of congenital ptosis was conducted. The preoperative incidences of anisometropia, amblyopia, strabismus and high astigmatism were evaluated. All patients underwent levator resection or received frontalis sling. The postoperative astigmatic change after a follow-up period of 12 months was assessed in 28 patients. It included a total of 40 ptotic eyelids from 12 bilateral and 16 unilateral cases of ptosis. The eyes on the contralateral side in unilateral cases served as the control group. Results. In 63 cases of congenital ptosis, 30.2% (19/63) were associated with anisometropia and 39.7% (25/63) with amblyopia, and 11.1% (7/63) were combined with strabismus. Most cases of amblyopia were associated with high astigmatism (64%). The incidence of high astigmatism (>2.5 diopters, D) in congenital ptosis was 25.3%. Of 40 ptotic eyelids included for the study of postoperative astigmatism change, 15% showed an increase of more than 0.5 D, whereas 27.5% showed a decrease of more than 0.5 D, and no significant change was observed in 57.5%. An average decrease of 0.18 D in astigmatism was observed, while no statistical difference was found between the study group and the control group for astigmatic change. Moreover, both the levator resection and frontalis sling groups showed a decrease in average cylinder, and again, demonstrated no statistically significant difference in astigmatic change. Conclusions. A high incidence of amblyopia was associated with astigmatism in congenital ptosis. Postoperative astigmatic study also revealed some change in astigmatic power, but no new cases of amblyopia developed after ptosis surgery. Patients with congenital ptosis should have cycloplegic refraction as soon as possible, and long-term postoperative refraction check-up is also recommended. |
本系統中英文摘要資訊取自各篇刊載內容。