内斜肌内缩综合征1型的远期手术疗效。

IF 3.9 2区综合性期刊 Q1 MULTIDISCIPLINARY SCIENCES

Scientific Reports Pub Date : 2025-01-27 DOI:10.1038/s41598-024-78738-z

Jihae Park, Hee Kyung Yang, Jeong-Min Hwang

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引用次数: 0

摘要

由于其广泛的临床表现和不同外科医生选择的治疗方法不同，Duane回缩综合征（DRS）的治疗非常复杂。为了深入了解这一具有挑战性的情况，我们评估了内源性DRS 1型的长期手术结果。平均随访5.6±3.4年，77.3%的患者手术运动成功，定义为水平偏差不超过8棱镜屈光度（PD）。手术后，观察到以平均每年1.3±3.7 PD外移的速度逐渐向外斜视转移。在本研究中，内倾性DRS 1型患者的长期手术结果普遍良好。然而，由于内侧直肌衰退后随时间推移而发生外移的性质，教育患者潜在的长期矫治过度，并仔细计算适当的手术剂量是至关重要的。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

Long-term surgical outcomes of esotropic duane retraction syndrome type 1.

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Long-term surgical outcomes of esotropic duane retraction syndrome type 1.

Duane retraction syndrome (DRS) is complicated to treat due to its wide spectrum of clinical presentations and the treatment of choice varies among surgeons. To provide insight into this challenging condition, we evaluated the long-term surgical outcomes of esotropic DRS type 1. The surgical motor success, defined as a horizontal deviation of 8 prism diopters (PD) or less, was found in 77.3% of patients after an average follow-up of 5.6 ± 3.4 years. After surgery, a gradual shift towards exotropia was observed at an average rate of 1.3 ± 3.7 PD exodrift per year. In this study, the long-term surgical outcomes were generally favorable in esotropic DRS type 1. However, due to the nature of exodrift over time following medial rectus recession, it is crucial to educate the patient about the potential long-term overcorrection, and to carefully calculate the appropriate surgical dosage.

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来源期刊

Scientific Reports Natural Science Disciplines-

CiteScore

7.50

自引率

4.30%

发文量

19567

审稿时长

3.9 months

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