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本文讨论25例甲状腺眼肌病变术前检查、治疗选择和手术结果。 25例病人中23例有甲亢的实验室诊断,2例有与甲状腺功能紊乱一致的临床体征和症状。21例病人接受某些甲状腺治疗,全部或部分切除、碘~(131)治疗、或服药。术前所有病人至少维持6个月的甲状腺机能低下,或甲状腺机能正常。 12名病人试用三棱镜企图恢复双眼单视,仅3例病人用三棱镜免除了手术。其余22例手术治疗,其中5例病人在眼肌手术前曾行眶减压术。术前检查包括视野以确定有无视神经累及,虹膜动脉造影以确定术前有良好的前节血供给,双眼复视检查以及在不同注视位置测眼压。在眼运动受限制情况下如甲状腺眼肌病变,眼向受限方向转动时眼压上升。在甲状腺肌病变诊断中另
This article discusses 25 cases of thyroid ocular myopathy preoperative examination, treatment options and surgical results. Twenty-three of the 25 patients had a laboratory diagnosis of hyperthyroidism and two had clinical signs and symptoms consistent with thyroid dysfunction. Twenty-one patients underwent some thyroid surgery, total or partial resection, 131I treatment, or medication. All patients with preoperative hypothyroidism for at least 6 months, or normal thyroid function. Twelve patients attempted to try a prism to try to restore binocular vision. Only three patients were pruned to remove the surgery. The remaining 22 cases were treated surgically, and 5 of them had orbital decompression before ophthalmic surgery. The preoperative examination included field of vision to determine whether there was optic nerve involvement, iris arteriography to confirm preoperative blood supply for the preoperative, binocular diplopia, and intraocular pressure at various gaze locations. In the case of eye movement restrictions such as thyroid ocular muscle lesions, eye rotation in the restricted direction when IOP increased. In the diagnosis of thyroid muscle disease the other