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目的 探讨甲状腺相关性免疫眼眶病引起的眼球运动异常的治疗方法及效果。方法 2 0 0 0年1月～2 0 0 4年2月我院就诊甲状腺相关眼病有眼肌运动异常患者10例,就诊时的病情6例为活动期,4例为静止期,通过对不同时期患者分别实施保守治疗及手术治疗,观察治疗前后患者的眼位、斜视度、头位等情况。结果 6例活动期患者经系统保守治疗,病情稳定眼部水肿有不同程度改善,眼球运动异常及复视仍然存在。病情稳定后,处于静止期的10例患者有8例选择手术治疗,采用的术式分别为后退下直肌、后退下直肌及对侧上直肌,术后患者代偿头位基本消失,正前方无明显斜度,在一定范围内恢复双眼视功能。结论 甲状腺相关眼病不同时期分别采取不同的治疗方案,手术治疗甲状腺相关眼病引起的眼球运动异常可得到良好的临床效果
Objective To investigate the treatment of eye movement abnormalities caused by thyroid-associated orbital diseases. Methods From January 2000 to February 2004, 10 cases of oculomotor abnormalities in thyroid-related ophthalmopathy were observed in our hospital. Six cases were active during treatment and 4 were quiescent. Period patients were treated conservatively and surgery, observation of patients before and after treatment of eye position, strabismus, head position and so on. Results Six active cases of conservative treatment of patients, stable condition of the eye edema have varying degrees of improvement, eye movement abnormalities and diplopia still exist. After the disease was stable, the rest 10 cases of patients with surgical treatment of choice in 8 cases, the use of surgery were rectus lower rectus, rectus lower rectus and contralateral upper rectum, postoperative patients compensatory head disappeared, In front of no significant slope, in a certain range to restore binocular vision. Conclusion Different treatment options for thyroid-related ophthalmopathy at different stages are adopted respectively. Surgical treatment of eye movement abnormalities caused by thyroid-associated ophthalmopathy can achieve good clinical effects