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首页> 外文期刊>American Orthoptic Journal >Nonsurgical management of diplopia.
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Nonsurgical management of diplopia.

机译：非手术性复视治疗。

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摘要

Diplopia is a potential undesirable outcome of nearly any ocular surgery. In some cases, the unexpected strabismus and diplopia resolve quickly without intervention, especially if due to swelling or minor insult from the surgical procedure. When double vision persists, effective treatment may be more elusive in patients in which the strabismus is the result of a restrictive process. The sudden onset of strabismus makes treatment more challenging. Frequently these patients will require surgical intervention. Where possible, patients may be managed with nonsurgical treatments until the time of surgery or indefinitely if successful and acceptable to the patient. Diplopia has been documented as a result of restrictive strabismus following vitreoretinal surgery, glaucoma surgery, orbital decompression surgery, strabismus surgery, orbital surgery, conjunctival surgery, cataract surgery, blepharoplasty, and others. The treatment of diplopia after ocular surgery is complicated by the incomitance and torsion that may be associated with restrictive strabismus as well as the variability of the deviation during healing. Nonsurgical treatment options include prisms or occlusion. Fresnel prisms are used primarily, but occasionally the prism is ground into the spectacles. Occlusion of the involved eye may be partial or complete, using a "pirate" patch, adhesive patch, Bangerter foil, tape, or related method.
机译：复视是几乎任何眼科手术的潜在不良结果。在某些情况下，意外的斜视和复视无需干预即可迅速解决，尤其是由于手术过程肿胀或轻度损伤。如果仍然存在双重视力，则对于斜视是限制性过程导致的患者，有效治疗可能会更加难以捉摸。斜视的突然发作使治疗更具挑战性。这些患者经常需要手术干预。在可能的情况下，可以对患者进行非手术治疗，直到手术发生为止;如果成功并且可以被患者接受，则可以无限期进行治疗。玻璃体视网膜手术，青光眼手术，眼眶减压手术，斜视手术，眼眶手术，结膜手术，白内障手术，眼睑整形术等术后限制性斜视已被证实有复视。眼科手术后复视的治疗因局限性斜视以及愈合过程中偏差的变异性而引起的不适和扭转而变得复杂。非手术治疗选择包括棱镜或闭塞。主要使用菲涅尔棱镜，但有时将棱镜磨成眼镜。使用“海盗”贴片，粘性贴片，Bangerter薄片，胶带或相关方法，可以部分或完全遮盖受累眼睛。

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