可活动结膜瓣在调整缝线斜视术中的临床应用

The use of active conjunctival flap in adjustable strabismus surgery

目的探讨可活动结膜瓣调整缝线治疗斜视的临床效果。方法共同性水平斜视128例,常规进行调整缝线术,在缝合结膜瓣时将结膜瓣的一角进行松弛打结,以便于调整缝线;调整缝线时掀开结膜瓣进行调整,调整后结扎结膜缝线。结果术后第1天56例正位,72例欠矫/过矫者经过调整获得正位,随访6-8个月124例(96.88%)保持正位。结论应用可活动结膜瓣调整缝线治疗斜视可以避免线结的刺激、过多的巩膜暴露,有利于术后恢复。

Objective To detemine the effect of active cenjunctival flap in adjustable strabismus surgery. Methods 128 cases with horizontal strabismus were operated by using adjustable strabismus surgery. During sutured the cenjunctiva ,one comer of the cenjunctival flap was slack for easy to adjustment. The cenjunctival flap was raised during adjustment. After the adjustment the cenjunctival flap was sutured. Results 56 cases were orthophoria in the first of postoperative. 72 cases were under/over correction retus ,they were adjusted until orthophoria. The follow up was 6 to 8 months, 124 cases （96.88%） were orthophoria. Conclusion Using active cenjunctival flap in adjustable strabismus surgery was advantages rest- pres after operation ,as it can avoid the stimulus of knot and the more exposure of sclera.