Effect of rectus recession combined with the rear suspension scleral fixation in patients with restrictive strabismus caused by thyroid associated ophthalmopathy
AIM: To investigate the therapeutic effect of rectus recession combined with the rear suspension scleral fixation for patients with restrictive strabismus caused by thyroid associated ophthalmopathy(TAO). <p>METHODS: The clinical data of 48 patients(71 eyes)with severe TAO were retrospective a...
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doaj-7d13a00d660745899a2eb6d5239b2cfc2020-11-25T01:16:27ZengPress of International Journal of Ophthalmology (IJO PRESS)Guoji Yanke Zazhi1672-51231672-51232016-04-0116473573710.3980/j.issn.1672-5123.2016.4.38Effect of rectus recession combined with the rear suspension scleral fixation in patients with restrictive strabismus caused by thyroid associated ophthalmopathyHai-Hua Qian0You-Sheng Liao1Department of Ophthalmology,the Second People's Hospital of Neijiang, Neijiang 641100, Sichuan Province,ChinaDepartment of Ophthalmology,the Second People's Hospital of Neijiang, Neijiang 641100, Sichuan Province,ChinaAIM: To investigate the therapeutic effect of rectus recession combined with the rear suspension scleral fixation for patients with restrictive strabismus caused by thyroid associated ophthalmopathy(TAO). <p>METHODS: The clinical data of 48 patients(71 eyes)with severe TAO were retrospective analyzed from January 2013 to January 2015.The patients with severe TAO were divided into the exophthalmos(EM)group with 25 patients(35 eyes), compressive optic neuropathy(CON)group with 12 patients(20 eyes)and exposure keratopathy(EK)group with 11 patients(16 eyes).The rectus recession combined with rear suspension scleral fixation treatment was performed in all patients. The visual acuity, clinical activity score(CAS), and diplopia situation of each group were recorded and compared preoperatively and at 6mo postoperatively. <p>RESULTS: The postoperative best corrected visual acuity(BCVA)of the three groups were significantly higher than those before operation(<i>P</i><0.01). The postoperative exophthalmos of CON group, MP group and EK group were significantly more improved than those before operation(<i>P</i><0.01). The eyeballs of patients in CON group retracted significantly more than the other two groups(<i>P</i><0.01). The CAS was significantly lower after operations than that before operations(<i>P</i><0.01). The diplopia in patients in CON group decreased more than the other two groups(<i>P</i><0.05).<p>CONCLUSION: Rectus recession combined with the rear suspension scleral fixation can help improve the restrictive strabismus caused by TAO, visual acuity, eyeballs to roll back, eliminate the diplopia and to improve the life quality of patients.http://ies.ijo.cn/cn_publish/2016/4/201604038.pdfthyroid associated ophthalmopathyrectus recessionrear suspension scleral fixationefficacy |
collection |
DOAJ |
language |
English |
format |
Article |
sources |
DOAJ |
author |
Hai-Hua Qian You-Sheng Liao |
spellingShingle |
Hai-Hua Qian You-Sheng Liao Effect of rectus recession combined with the rear suspension scleral fixation in patients with restrictive strabismus caused by thyroid associated ophthalmopathy Guoji Yanke Zazhi thyroid associated ophthalmopathy rectus recession rear suspension scleral fixation efficacy |
author_facet |
Hai-Hua Qian You-Sheng Liao |
author_sort |
Hai-Hua Qian |
title |
Effect of rectus recession combined with the rear suspension scleral fixation in patients with restrictive strabismus caused by thyroid associated ophthalmopathy |
title_short |
Effect of rectus recession combined with the rear suspension scleral fixation in patients with restrictive strabismus caused by thyroid associated ophthalmopathy |
title_full |
Effect of rectus recession combined with the rear suspension scleral fixation in patients with restrictive strabismus caused by thyroid associated ophthalmopathy |
title_fullStr |
Effect of rectus recession combined with the rear suspension scleral fixation in patients with restrictive strabismus caused by thyroid associated ophthalmopathy |
title_full_unstemmed |
Effect of rectus recession combined with the rear suspension scleral fixation in patients with restrictive strabismus caused by thyroid associated ophthalmopathy |
title_sort |
effect of rectus recession combined with the rear suspension scleral fixation in patients with restrictive strabismus caused by thyroid associated ophthalmopathy |
publisher |
Press of International Journal of Ophthalmology (IJO PRESS) |
series |
Guoji Yanke Zazhi |
issn |
1672-5123 1672-5123 |
publishDate |
2016-04-01 |
description |
AIM: To investigate the therapeutic effect of rectus recession combined with the rear suspension scleral fixation for patients with restrictive strabismus caused by thyroid associated ophthalmopathy(TAO). <p>METHODS: The clinical data of 48 patients(71 eyes)with severe TAO were retrospective analyzed from January 2013 to January 2015.The patients with severe TAO were divided into the exophthalmos(EM)group with 25 patients(35 eyes), compressive optic neuropathy(CON)group with 12 patients(20 eyes)and exposure keratopathy(EK)group with 11 patients(16 eyes).The rectus recession combined with rear suspension scleral fixation treatment was performed in all patients. The visual acuity, clinical activity score(CAS), and diplopia situation of each group were recorded and compared preoperatively and at 6mo postoperatively. <p>RESULTS: The postoperative best corrected visual acuity(BCVA)of the three groups were significantly higher than those before operation(<i>P</i><0.01). The postoperative exophthalmos of CON group, MP group and EK group were significantly more improved than those before operation(<i>P</i><0.01). The eyeballs of patients in CON group retracted significantly more than the other two groups(<i>P</i><0.01). The CAS was significantly lower after operations than that before operations(<i>P</i><0.01). The diplopia in patients in CON group decreased more than the other two groups(<i>P</i><0.05).<p>CONCLUSION: Rectus recession combined with the rear suspension scleral fixation can help improve the restrictive strabismus caused by TAO, visual acuity, eyeballs to roll back, eliminate the diplopia and to improve the life quality of patients. |
topic |
thyroid associated ophthalmopathy rectus recession rear suspension scleral fixation efficacy |
url |
http://ies.ijo.cn/cn_publish/2016/4/201604038.pdf |
work_keys_str_mv |
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