https://scholars.lib.ntu.edu.tw/handle/123456789/581627
標題: | The role of rectus muscle myectomy in the management of large-angle strabismus for Graves' ophthalmopathy | 作者: | SHU-LANG LIAO YI-HSUAN WEI Chuang, A.Y.-C. |
公開日期: | 2017 | 卷: | 31 | 期: | 7 | 起(迄)頁: | 1027-1033 | 來源出版物: | Eye (London, England) | 摘要: | PurposeRetrospective noncomparative case series to investigate the role of rectus muscle myectomy for the treatment of large-angle strabismus in patients with Graves' ophthalmopathy.Patients and methodsData from 47 consecutive patients with Graves' ophthalmopathy who underwent complete myectomy for large-angle strabismus (strabismus greater than 25 prism diopters (PDs)) were collected retrospectively. Pre- and postoperative deviations in primary and reading position were measured in PDs. Postoperative deviation of <5 diopters in primary gaze and functional binocular vision in central 30° field were considered as successful surgical outcomes.ResultsPatients undergoing complete myectomy of the restricted muscles in large-angle strabismus achieved a 78.7% success rate after the first surgery. Reoperation performed on seven patients resulted in 85.7% success rate in reoperation group. The overall success rate was 91.5%. The mean efficacy of the isolated rectus muscle myectomy was 34.3±7.7 PDs.ConclusionsThe complete rectus muscle myectomy technique is effective and predictable in the treatment of large-angle strabismus in patients with Graves' ophthalmopathy. ? 2017 Macmillan Publishers Limited, part of Springer Nature. |
URI: | https://www.scopus.com/inward/record.uri?eid=2-s2.0-85023593735&doi=10.1038%2feye.2017.28&partnerID=40&md5=b2f5ac857a7b5c337a28efc07e6a052d https://scholars.lib.ntu.edu.tw/handle/123456789/581627 |
ISSN: | #VALUE! | DOI: | 10.1038/eye.2017.28 | SDG/關鍵字: | adult; aged; Article; binocular vision; clinical article; endocrine ophthalmopathy; female; gaze; human; male; muscle resection; rectus muscle myectomy; reoperation; retrospective study; strabismus; visual field; complication; diagnostic imaging; endocrine ophthalmopathy; extraocular muscle; eye movement; eye surgery; middle aged; pathophysiology; physiology; procedures; severity of illness index; strabismus; time factor; treatment outcome; very elderly; x-ray computed tomography; Adult; Aged; Aged, 80 and over; Eye Movements; Female; Graves Ophthalmopathy; Humans; Male; Middle Aged; Oculomotor Muscles; Ophthalmologic Surgical Procedures; Retrospective Studies; Severity of Illness Index; Strabismus; Time Factors; Tomography, X-Ray Computed; Treatment Outcome; Vision, Binocular |
顯示於: | 醫學系 |
在 IR 系統中的文件,除了特別指名其著作權條款之外,均受到著作權保護,並且保留所有的權利。