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題 名 | Results of Orbital Decompression Performed Primarily for Cosmetic Indication in Thyroid Orbitopathy=甲狀腺眼窩病變因凸眼適應症接受眼窩減壓手術之結果 |
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作 者 | 蔡悅如; 馬俐; | 書刊名 | 中華民國眼科醫學會雜誌 |
卷 期 | 38:4 1999.12[民88.12] |
頁 次 | 頁579-584 |
分類號 | 416.75 |
關鍵詞 | 甲狀腺眼窩病變; 凸眼; 眼窩減壓手術; Orbital decompression; Thyroid orbitopathy; Exophthalmos; Diplopia; |
語 文 | 英文(English) |
中文摘要 | 目的:甲狀腺眼窩病變接受減壓手術的適應症,於壓迫性視神經病變及曝露性角 膜病變是大家都接受的。關於因凸眼外觀不佳而接受眼窩減壓手術,則因其術後常有複視的 併發症甚至視力喪失的報告,而較具爭議。本篇乃報告33例甲狀腺眼窩病變因凸眼適應症 而接受眼窩減壓手術之結果。 方法:統計1989年到1998年甲狀腺眼窩病變因凸眼外觀不佳而接受眼窩減壓手術的病 例,共33例62個眼窩。 結果:眼窩減壓手術平均可將眼球推回眼窩4.81±1.72公厘。所有的病例術後兩眼凸眼 計測量值差都在2公厘範圍內。先前報告常提到的術後複視的問題並未在我們的病人中發 生。手術併發症很少。 結論:眼窩減壓手術對凸眼外觀不佳的甲狀腺眼窩病變病人是有效而安全的。仔細地術 前評估及經驗豐富的手術醫師是成功的要件。 |
英文摘要 | Purpose: Four-staged operation is currently the most effective treatment available in the management of stable thyroid orbitopathy. Many argue that decompression carries risks of operative complications such as binocular diplopia, and visual loss. So they are only warranted when there are compressive optic neuropathy or exposure keratopathy. This study reports detailed results of orbital decompression for 33 patients in whom the indications were primarily cosmetic. Methods: Between 1989 and 1998, 33 consecutive patients (62 orbits) with thyroid orbitopathy received orbital decompression for cosmetic indication. The medical records and photographs of these patients were reviewed. Results: The mean retroplacement was 4.81±1.72 mm (range, 0 to 9 mm). All 33 patients remained within 2 mm of asymmetry postoperatively. The previously mentioned "diplopia de novo" was not found in our series. There were no surgical complications except for infraorbital nerve hypoesthesia. Conclusion: Staged rehabilitation is effective in reducing exophthalmos and correcting the cosmetic sequelae of dysthyroid orbitopathy. Careful evaluation of clinical parameters and experienced surgeons are the keys to success. |
本系統中英文摘要資訊取自各篇刊載內容。