视网膜脱离患者巩膜扣带手术后的眼球运动障碍

IF 0.1 Q4 OPHTHALMOLOGY
Kyeong Joo Lee, H. Sun, K. Choi, S. J. Lee, Hyuna Kim
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引用次数: 0

摘要

目的:双眼复视是流变性视网膜脱离患者接受巩膜扣带手术后可能出现的主要并发症。本研究探讨了巩膜扣带术后双眼复视的发生率和风险因素,还评估了复视患者的斜视手术成功率:方法:回顾性审查了2017年1月至2022年6月在一家机构接受巩膜扣带手术治疗流变性视网膜脱离的417名患者的病历。出现双眼复视超过 6 个月的患者被纳入复视组:手术后,22 名患者(5.3%)出现了双眼复视。复视的发生与带扣位置(即受影响的肌肉)、冷冻凝固、视网膜下液体引流以及气体或油注射的使用无明显相关性。棱镜疗法恢复了三名患者的双眼单视力。10 名患者选择了斜视手术,1 名患者接受了包围带切除术。所有斜视手术患者的眼扣与眼外肌之间都有粘连。手术后,60%的患者恢复了双眼单视:结论:巩膜扣带术后导致眼球运动障碍和复视的明确风险因素仍未确定。结论:导致巩膜扣锁术后眼球运动障碍和复视的明确风险因素仍未确定。如果棱镜保守治疗后复视仍然存在,斜视手术可能会缓解症状。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Ocular Movement Disorder after Scleral Buckling Surgery in Patients with Retinal Detachment
Purpose: Binocular diplopia is a primary complication that may arise after scleral buckling surgery in patients with rhegmatogenous retinal detachment. This study examined the incidence of and risk factors for binocular diplopia after scleral buckling surgery; it also evaluated the rate of strabismus surgery success in patients with diplopia.Methods: Medical records of 417 patients who underwent scleral buckling surgery for rhegmatogenous retinal detachment at a single institution from January 2017 to June 2022 were retrospectively reviewed. Patients who experienced binocular diplopia for > 6 months were included in the diplopia group.Results: After surgery, 22 patients (5.3%) developed binocular diplopia. There were no significant correlations of diplopia onset with buckle position (i.e., the affected muscle), cryophotocoagulation, subretinal fluid drainage, and the use of gas or oil injections. Prism therapy restored binocular single vision in three patients. Ten patients chose to undergo strabismus surgery, and one patient underwent encircling band removal. All strabismus surgery patients displayed adhesion between the buckle and extraocular muscle. After surgery, 60% of these patients regained binocular single vision.Conclusions: Clear risk factors leading to ocular movement disorders and diplopia after scleral buckling remain undefined. If diplopia persists despite prism-based conservative treatment, strabismus surgery may offer relief.
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CiteScore
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