【摘要】 目的探讨行斜视手术的老年人斜视诊断、治疗及预后。方法选取吉林大学第二医院收治的老年斜视患者30例,行常规眼科检查及斜视专科检查。麻痹性斜视的患者需行头部磁共振成像(MRI)检查,排除颅脑疾病;固定性内斜视患者行眶计算机断层扫描(CT)检查。共同性斜视单眼采取一退一截手术,双眼采取双眼后退加一眼缩短手术。固定性内斜视和外展神经麻痹性内斜视采用内直肌减弱联合Jensen直肌联结术。结果 30例患者中共同性斜视患者15例,术后有1例知觉性外斜视患者残余-20~△,其他患者均为正位。外展神经麻痹性内斜视患者7例,术后除1例患者残余+5°内斜视,其余眼位均恢复正位,复视消失。固定性内斜视患者8例,残余+5°～+15°者4例。结论老年性斜视行手术的患者主要包括固定性内斜视、外展神经麻痹性内斜视及各种共同性斜视,手术效果良好。更多还原

【Abstract】 Objective To explore the treatment and prognosis in older patients undergoing strabismus surgery.Methods30 older patients with strabismus were enrolled.The general ophthalmologic examinations and special strabismus examinations were performed.The magnetic resonance imaging(MRI) was taken in the patients with paralytic strabismus to exclude the craniocerebral disease.Orbit CT scan was used in the fixed esotropia.The surgical procedure with the recession and resection was performed in patients with concomitant strabismus.Jensen procedure with medial rectus disinsertion was performed to correct fixed esotropia and traumatic paralytic esotropia.Results The eyes reached orthophoria after surgery in patients with concomitant strabismus(15 cases) except 1 case with 20~△ residual extropia.The eyes reached orthophoria after surgery in patients with traumatic pralytic esotropia(7 cases) except 1 case with+5° residual estropia.There were 4 cases with +5°～+15° residual estropia in the patients with fixed esotropia(8 cases).Conclusion The types of strabismus in older patients undergoing surgery mainly include fixed esotropia,traumatic paralytic esotropia and concomitant strabismus.The surgery is the effective approach for the treatment of strabismus.更多还原