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首页> 外文期刊>American Orthoptic Journal >Diplopia following cosmetic surgery.
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Diplopia following cosmetic surgery.

机译：整形手术后复视。

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摘要

Cosmetic blepharoplasty is the most often performed procedure in plastic surgery and ophthalmic plastic surgery. Many complications have been reported including ectropion, exposure keratitis, hemorrhage, epiphora, infection, vision loss, and, very rarely, diplopia. Although uncommon, there have been several case reports and case series published evaluating possible causes of this problem, including aggressive excision of fat, wound-related inflammation, conjunctival edema, and temporary muscle disturbances. Although the inferior oblique muscle is most susceptible to injury, the inferior rectus and superior oblique muscles are also subject to trauma. When performing cosmetic blepharoplasties, surgeons should be cautious when dissecting fat pads and should do so under direct visualization. Meticulous cautery is also important to avoiding injury to the extraocular muscles. Fresnel prisms and Bangerter filters can be used to help alleviate diplopia in patients with small-angle strabismus. Surgical exploration and extraocular muscle surgery may be indicated in patients with diplopia that cannot be resolved with nonsurgical treatment.
机译：在整形外科和眼科整形外科中，整容整容术是最常进行的手术。已经报道了许多并发症，包括外翻，暴露性角膜炎，出血，癫痫，感染，视力下降，以及极少发生复视。尽管不常见，但已经有一些病例报告和病例系列报告评估了该问题的可能原因，包括脂肪的主动切除，伤口相关的炎症，结膜水肿和暂时性肌肉疾病。尽管下斜肌最容易受伤，但下直肌和上斜肌也容易受到创伤。在进行美容性眼睑整形术时，外科医生在解剖脂肪垫时应保持谨慎，并应在直接观察下进行。细致的烧灼对于避免眼外肌受伤也很重要。菲涅耳棱镜和Bangerter滤镜可用于缓解小角度斜视患者的复视。对于复视无法通过非手术治疗无法解决的患者，可能需要进行手术探索和眼外肌手术。

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