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首页> 外文期刊>Journal of pediatric ophthalmology and strabismus >Practical Aspects and Efficacy of Intraoperative Adjustment in Concomitant Horizontal Strabismus Surgery
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Practical Aspects and Efficacy of Intraoperative Adjustment in Concomitant Horizontal Strabismus Surgery

机译：并发水平斜视手术中术中调整的实用方面和功效

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Purpose: To analyze the practical aspects and advantages of one-stage adjustable surgery under topical anesthesia in concomitant horizontal strabismus.Methods: A retrospective review of 363 patients was completed to assess (1) the frequency of need to perform adjustment, (2) the amount and pattern of adjustment, and (3) the final alignment at least 6 months after surgery. Intraoperative adjustment was performed strictly toward the aim of orthophoria or slight overcorrection (hetero-phoria < 6 prism diopters [PD]) while avoiding diplopia.Results: Of the 363 patients, 261 (72%) required intraoperative adjustment. Of these, 85% of exotropes underwent a decreased amount of surgery compared with the standard amount, whereas 58% of esotropes underwent an increased amount of surgery. Forty-two patients underwent a one-muscle surgery instead of the scheduled two-muscle surgery, and all had less than 35 PD preoperative angle of deviation. Success rates were 83% in all patients with one-stage adjustable sutures and 87% in patients who underwent adjustment. In 42 patients with one-muscle surgery instead of two-muscle surgery, 32 (76%) obtained successful results.Conclusion: Intraoperative adjustment was effective in concomitant horizontal strabismus surgery and can provide the opportunity to avoid a large overcorrection, especially in cases with moderate angle horizontal muscle surgery.
机译：目的：分析在局部麻醉下并发水平斜视的一期可调式手术的实用方面和优势。方法：对363例患者进行回顾性评估，以评估（1）需要进行调整的频率，（2）调整的数量和方式，以及（3）手术后至少6个月的最终对准。严格按照矫正或轻微过度矫正的目的进行术中调整，同时避免复视。结果：在363例患者中，有261例（72％）需要进行术中调整。其中，与标准剂量相比，85％的外用剂减少了手术量，而增加了手术量的58％内斜率。 42例患者仅进行了一次肌肉手术，而不是预定的两次肌肉手术，而且所有患者术前PD偏角均小于35。所有采用一期可调缝线的患者的成功率分别为83％和接受矫正的患者的87％。在42例单肌手术而非2肌手术的患者中，有32例（76％）获得了成功的结论。结论：术中调整对伴随水平斜视手术有效，并且可以提供避免较大矫正的机会，尤其是在中度角横肌手术。

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