显微镜下斜视矫正术387例临床分析

目的:回顾性分析显微镜下斜视矫正术的优越性。方法:斜视患者387例,男224例,女163例,年龄3～65岁,其中共同性斜视296例,麻痹性斜视65例,A-V征19例,垂直分离性斜视7例。全部病例均在显微镜下完成斜视矫正术,对复杂性斜视手术行睫状前血管分离保留。结果:术后23例欠矫,8例过矫,斜视矫正率达92.0%,有效率达100%。无1例发生眼前节缺血;手术视野清晰,操作准确,损伤小;手术并发症极少,局部反应轻微,恢复快。结论:显微镜下斜视手术与以往常规肉眼下斜视手术相比,无论从减轻手术创伤提高手术的准确性和减少手术并发症上,都有诸多的优越性。

Clinical analysis of microscope strabismus surgery in 387 cases

AIM:To analyze the superiority of microscope strabismus surgery retrospectively.METHODS:Totally 387 cases with strabismus,male 224 cases,female 163 cases,aged 3 to 65 years,296 cases were concomitant strabismus,65 cases were paralytic strabismus,A-V syndrome in 19 cases,7 cases of dissociated vertical deviation.All cases were performed strabismus surgery under microscope.The complex strabismus operation had anterior ciliary vessels separation and retention.RESULTS:All 23 cases were undercorrection,8 cases overcorrection,strabismus correction rate reached 92.0%,and the efficaly rate reached 100%.No case of anterior segment ischemia occurred.The operation field was clear,operation accurate;post operative complications were minimal,local reactions mild,and recovery fast.CONCLUSION:Strabismus operation under microscope compared with the conventional naked eye strabismus operation,there are many advantages both in reducing operation trauma to improve operation accuracy and in reducing operation complication.