Intractable diplopia after strabismus surgery in adults
Intractable diplopia after strabismus surgery in adults
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DOI：
10.1001/archopht.120.11.1498
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发表时间：
2002-11-01
影响因子：
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通讯作者：
Kushner, BJ
中科院分区：
文献类型：
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作者：
Kushner, BJ
目的：为了调查长期持续性顽固性复视的发病率在成年人接受手术的长期，恒定斜视，并确定测试，可能是有用的，以确定患者的风险，发展这种complication.Methods：一个回顾性的医疗记录审查的成年人没有复视接受手术的恒定strabismus.Results：医疗记录的424例成人患者接受斜视手术进行了研究。在这些患者中，143例（34%）在术前使用棱镜进行测试以模拟预期手术结果时出现复视。仅40例患者（9%）术后出现暂时性复视，所有病例均在术后6周内消退。3例患者（0.8%）出现持续性顽固性复视。术前棱镜测试的复视比术前不存在复视更容易导致术后复视（P
Objectives: To investigate the incidence of persistent intractable diplopia in adults undergoing surgery for long-standing, constant strabismus and to define tests that may be useful for identifying patients at risk for developing this complication.Methods: A retrospective medical record review of adults without diplopia undergoing surgery for constant strabismus.Results: Medical records of 424 adult patients undergoing strabismus surgery were studied. Of these patients, 143 (34%) experienced diplopia when tested pre-operatively with prisms to simulate the desired surgical outcome. Only 40 patients (9%) had temporary diplopia after surgery, which resolved in all cases by 6 weeks postoperatively. Three patients (0.8%) developed persistent intractable diplopia. Experiencing diplopia with preoperative prism testing was significantly more likely to result in postoperative diplopia than if diplopia was not present preoperatively (P