Invest Ophthalmol Vis Sci:对滑车神经异常的单侧上斜肌麻痹眼睛的改善措施!

2017-11-07 cuiguizhong MedSci原创

韩国釜山玛丽诺医疗中心眼科的Lee JE 近日在Invest Ophthalmol Vis Sci杂志上发表了他们近期的一项工作,他们在单侧上斜肌麻痹(SOP)患者中研究了目标眼扭转与滑车神经之间的关系。

韩国釜山玛丽诺医疗中心眼科的Lee JE 近日在Invest Ophthalmol Vis Sci杂志上发表了他们近期的一项工作,他们在单侧上斜肌麻痹(SOP)患者中研究了目标眼扭转与滑车神经之间的关系。

他们总共检查了159例先天性和获得性单侧上斜肌麻痹(SOP)患者。包括84名正常的滑车神经受试者(对照组)和75名没有滑车神经的受试者(试验组)。比较各组之间的循环运动参数和目标眼扭矩,评估与眼扭转相关的因素。


结果他们发现,试验组与对照组相比,没有滑车神经的眼"净"外循环程度较大(P = 0.002)。实验组中滑车神经的异常的眼中净外循环的比例较大(P <0.001)。神经异常的眼的净外循环与滑车神经的不存在具有显着的相关性(P <0.001),与较小的上斜肌麻痹程度也有显着的相关性(P <0.001)。麻痹眼的净隐性与正常的滑车神经(P = 0.005)、上斜肌的麻痹程度(P = 0.002)以及同侧眼中较高的血压之间存在显着相关性(P = 0.024)。

因此,他们认为,同侧注视中的滑车神经状态、上斜肌的麻痹程度反应出同侧上直肌的拉伸强度,增强同侧上直肌的拉伸强度有助于改善单侧单侧上斜肌麻痹的症状。

原文出处:

Lee, J.E., et al. Ocular Torsion According to Trochlear Nerve Absence in Unilateral Superior Oblique Palsy. Invest Ophthalmol Vis Sci, 2017. 58(12): p. 5526-5531.

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    2017-11-08 jihuaijun1112

    学习学习学习

    0

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    2017-11-08 飛歌

    学习了很有用

    0