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先天性上直肌缺如伴上睑下垂一例

中国斜视与小儿眼科杂志 2005年第2期13卷 97-99页

作者：温佶俐浙江省金华市中心医院眼科 321000

先天性上直肌缺如伴上睑下垂病例罕见,尚未见报导,作者临床遇到一例,报告如下。男性,8岁,学生,因“出生后即发现右眼下斜不能上转伴上睑抬举困难”于2003年7月23日初诊。随年龄增大,自觉眼部病情变化不大。家族中无同样眼病,未经任何诊... 详细信息

先天性上直肌缺如伴上睑下垂病例罕见,尚未见报导,作者临床遇到一例,报告如下。男性,8岁,学生,因“出生后即发现右眼下斜不能上转伴上睑抬举困难”于2003年7月23日初诊。随年龄增大,自觉眼部病情变化不大。家族中无同样眼病,未经任何诊治。患者系第一胎、第一产、足月顺产,无眼部手术及外伤史,全身检查未见异常。眼科检查:视力:右:0.8,+0.75DS=0.8左:1.0, +0.25DS=1.0,原在位睑裂:右眼6mm,左眼11mm;

关键词：上睑下垂外直肌眼外肌眼外附肌肌止端上直肌

标准化眼眶回波描记检查证实的疑难性眼部失调患者存在隐匿性甲状腺相关眼病

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世界核心医学期刊文摘（眼科学分册） 2006年第10期2卷 51-52页

作者： Volpe N.J. Sbarbaro J.A. Gendron Livingston K. 王文军 Department of Ophthalmology Scheie Eye InstituteUniversity of Pennsylvania School of MedicinePhiladelphiaPAUnited States Dr.

Purpose:To describe the clinical presentation,orbital echography(OE)findings,and neuroimaging results of patients with chronic unexplained ocular misalignment,which includes patients with clinically occult thyroid eye disease(TED)that is identifiable through a characteristic OE appearance.Design:Retrospective observational case series.Methods:Seventy eight patients with chronic ocular misalignment suspected of TED because of a history of systemic thyroid disease,proptosis,dysmotility,positive forced ductions,or eyelid retraction or lag were categorized as TED positive,negative,and indeterminate with the use of standardized OE.Demographic,clinical,OE,computed tomography,and magnetic resonance imaging information was collected.Analyses determined the prevalence of TED and differences between TED positive,negative,and indeterminate groups.Results:Fifty-five percent of the findings were suspicious for and most consistent with TED(TED positive);26% of the findings were TED negative,and 19% of the findings were TED indeterminate.Of 30 patients with newly diagnosed TED by OE,70% had no lid retraction,and 20% had no other findings of TED.The inferior rectus followed by the superior rectus/levator complex,medial rectus,and lateral rectus muscles were the most frequently involved muscles.Neuroimaging that was performed in only 26 of 78 patients(33%)did not appear to yield additional diagnostic information.Conclusion:TED is a potential cause of chronic unexplained ocular misalignment in a substantial proportion of patients.These patients frequently present in an occult fashion without other clinical findings that are typical of TED.In these patients,a diagnosis of TED by OE can reduce further costly evaluation.OE appears to have significant clinical usefulness in the diagnosis of TED in patients with unexplained ocular misalignment.

关键词：隐匿性疑难性回退提上睑肌上直肌下直肌外直肌内直肌眼球突出统计学资料

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上斜肌移位术治疗动眼神经不全麻痹2例报告

中国斜视与小儿眼科杂志 2004年第1期12卷 46+54-46+54页

作者：汪泽李世洋于天娟兖州市解放军第91医院眼科兖州市解放军第91医院眼科 210007 山东省南京东南眼科医院斜视与小儿眼科

动眼神经全麻痹或不全麻痹(除外眼内肌)所表现的斜视属复杂难治性斜视。我们采用上斜肌移位术治疗2例,使原在位基本正位,明显改善了患者外观。

关键词：上斜肌滑车葫芦(工具) 不全麻痹外直肌脑神经动眼神经移位术

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老年人复视需警惕

江苏卫生保健（今日保健） 2016年第3期 24-24页

作者：乔辰梁

65岁的老张近来比较烦恼,逢人就讲眼睛出问题了,一只眼单独看东西没问题,但双眼一起看就会出现重影,脑子还有点晕。老张的眼睛出了＂复视＂的问题了!老年年人人复复视视,危害不容小觑我们知道,在正常视网膜对应的前提下,一个物象落在分... 详细信息

65岁的老张近来比较烦恼,逢人就讲眼睛出问题了,一只眼单独看东西没问题,但双眼一起看就会出现重影,脑子还有点晕。老张的眼睛出了＂复视＂的问题了!老年年人人复复视视,危害不容小觑我们知道,在正常视网膜对应的前提下,一个物象落在分开过大的视网膜非对应点上。

关键词：对应点张近单眼复视外展神经麻痹眼球运动受限外直肌眼外肌内直肌眼球转动虹膜根

聚四氟乙烯(Goretex~)在肌肉延长手术治疗斜视眼运动受限中的应用

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世界核心医学期刊文摘（眼科学分册） 2006年第8期2卷 18-19页

作者： Langmann A Lindner S. Wackernagel W 王永强 Department of Ophthalmology Medical University Auenbruggerplatz 4 8036 Graz Austria Prof.

Purpose: Repeated strabismus surgery as well as eye muscle fibrosis in various forms of strabismus, can be followed by restriction of the motility of the eye. Tendon elongation may be necessary if further improvement of the deviation and duction of the eye muscle is to be achieved. We used polytetrafluoroethylene (Goretex~) and looked at its user comfort, compatibility and dose-rate relationship. Method: Three patients with consecutive exotropia after repeated operations for congenital esotropia, two patients with VI nerve palsy and residual head turn after combined convergence operation and one child with congenital fibrosis syndrome underwent muscle tendon elongation with Goretex (7- 15 mm) of either the medial or the lateral rectus muscle, which had already been resected and/or recessed in former surgeries. Forced duction under general anaesthesia was restricted in all patients. Results: The correction of the deviation in primary position (deviation at distance+ 3° to- 4° and at near- 1° to- 8° ) and in side gaze was satisfactory and motility was clearly improved. There were no postoperative complications (infection, shrinkage, scarring)-and the postoperative results in terms of the angle of deviation and the improvement in motility remained stable for 1- 6 years. Conclusion: Polytetrafluoroethylene (Goretex ) is a good ma terial with which to resolve complicated cases of strabismus in which muscle tendon elongation for bulbus restriction is necessary.

关键词：斜视眼 Goretex 运动受限肌腱延长术外斜视外直肌内直肌先天性内斜视瘢痕化矫正效果

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高度近视继发固定内斜视2例的手术治疗

中国实用眼科杂志 2006年第2期24卷 214-214页

作者：樊兆珊王利华山东大学山东省立医院眼科济南250021

成人单或双眼轴性高度近视可发生限制性内斜视,此类病人对药物及常规手术治疗无效.近年来,随着现代影像应用于眼肌的诊断治疗,Krzizok[1]等经MRI检查发现这类病人是由明显的眼外肌路径不正常,外直肌向颞下移位引起.本科收治此类患者两例... 详细信息

成人单或双眼轴性高度近视可发生限制性内斜视,此类病人对药物及常规手术治疗无效.近年来,随着现代影像应用于眼肌的诊断治疗,Krzizok[1]等经MRI检查发现这类病人是由明显的眼外肌路径不正常,外直肌向颞下移位引起.本科收治此类患者两例,经MRI检查外直肌向下移位,采用新的手术方法取得良好效果.现报告如下。

关键词：常规手术治疗高度近视内斜视 MRI检查继发诊断治疗手术方法外直肌眼外肌病人

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复发性眼肌麻痹为主要症状的眼眶肌炎(法)

世界核心医学期刊文摘（眼科学分册） 2005年第7期1卷 2-3页

作者： Pag' es M. Malanda G. Mayembo M.A. 陈立军 Service de Neurologie A Centre Gui de Chauliac 80avenue Fliche 34295 Montpellier Cedex5 France

Introduction. We report a case of orbital myositis revealed by a relapsing and initally painless ophthalmoplegia. Case report. A50- year- old patient suddenly presented with an isolated palsy of the right lateral rectus muscle which recovered in 3 weeks after a short- lasting corticosteroid therapy but relapsed. Cerebral and orbital imaging were normal. Orbital pain with a fluctuating course occurred 6 months later. Two years after the clinical onset, orbital CT scan revealed a fusiform hypertrophy of the right lateral rectus muscle which was enhanced by contrast. After corticosteroid treatment, the symptoms improved and CT scan became normal. Conclusion. Orbital myositis may not be ruled out in case of painless ophthalmoplegia and systematic and repeated imaging is necessary.

关键词：眼眶肌炎眼肌麻痹外直肌皮质类固醇影像学检查扫描图像棱形

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急性共同性内斜视的手术治疗

中国斜视与小儿眼科杂志 2004年第4期12卷 19-20页

作者：高淑琴钟启明董光美河北张家口市第四医院小儿眼科河北张家口市第四医院小儿眼科 075000

目的探讨急性共同性内斜视的手术治疗效果。方法采用单眼内直肌后徙加外直肌截除,或双眼内直肌后徙加单眼或双眼外直肌截除,手术量比普通内斜视略加大的手术方法治疗急性共同性内斜视。结果13例术后眼位得到满意矫正,并且消除了复视,改... 详细信息

目的探讨急性共同性内斜视的手术治疗效果。方法采用单眼内直肌后徙加外直肌截除,或双眼内直肌后徙加单眼或双眼外直肌截除,手术量比普通内斜视略加大的手术方法治疗急性共同性内斜视。结果13例术后眼位得到满意矫正,并且消除了复视,改善了双眼单视功能。结论对于复视干扰明显,斜视度大的急性共同性内斜病例,在发病6个月后尽快施行手术治疗,能有效矫正眼位,消除复视,保全或改善双眼单视功能。

关键词：双眼单视功能单眼截除内斜视眼位外直肌手术治疗斜视度立体视同侧复视内隐斜