眼眶减压术20眼临床分析

Analysis of 20 cases of orbital decompression surgery

目的 :探讨眼眶减压术对经保守治疗无效的甲状腺相关性眼病的临床疗效与合并症。方法 :对 12例 2 0眼的术前临床表现、术后的疗效与并发症进行随访并统计。结果 :三壁减压使眼球后退 6～ 8mm,外下壁减压后退 4～ 6 mm,内下壁减压后退 3～ 5 mm。 14/ 16眼 (87.5 % )角膜损害痊愈 ,2 / 16眼(12 .5 % )好转。 17/ 2 0眼 (85 % )视力提高 ,3/ 2 0眼 (15 % )无改善。并发症包括 2眼复视 ,5眼眶下神经损害 ,1眼眶继发出血。结论 :眼眶减压术对保守治疗无效的甲状腺相关眼病是一种有效、安全、并发症少的治疗手段 ,可用于继发角膜损害 。

To discuss the therapeutic effects and complication of orbital decompression surgery in the patients with thyroid-associated ophthalmopathy(TAO). Methods: 20 eyes of 12 patients with TAO, who underwent orbital decompression, were investigated in pre and postoperative clinical manifestation, therapeutic effects and complications. The following time was as long as 6 months up to 6 years. Results: The orbital decompression shown excellent effects on all the cases. Visual acuity improved in 17 of 20 eyes (85%). Conclusions: The orbital decompression seems an effective and safe surgery for the treatment of patients with TAO.