發(fā)布時(shí)間：2018-05-19 03:04

  本文選題：先天性眼球震顫 + 特發(fā)性�。� 參考：《昆明醫(yī)科大學(xué)》2012年碩士論文

【摘要】：目的： 1、探討先天性特發(fā)性眼球震顫(Congenital Idiopathic Nystagmus,CIN)患者手術(shù)治療前后整體視功能的變化情況。 2、探討眼動儀(Eye-tracker)在先天性特發(fā)性眼球震顫手術(shù)療效評價(jià)中的作用。 方法： 本實(shí)驗(yàn)選擇2011年1月至2012年3月期間在昆明醫(yī)科大學(xué)第四附屬醫(yī)院眼科收治的伴有代償頭位的25例先天性特發(fā)性眼球震顫患者,經(jīng)過詳細(xì)的眼部�？茩z查及其他相關(guān)檢查后給予所有患者手術(shù)治療(中間帶移位術(shù))。 1、所有患者于術(shù)前及術(shù)后給予遠(yuǎn)近視力、遠(yuǎn)近立體視功能及對比敏感度檢查。 2、所有患者于術(shù)前及術(shù)后采用眼動儀檢查眼震參數(shù)的變化。 3、采用SPSS17.0統(tǒng)計(jì)學(xué)軟件對所有檢測數(shù)據(jù)進(jìn)行統(tǒng)計(jì)分析。 結(jié)果： 1、所有CIN患者除1例患者手術(shù)前后視力無變化外,其余患者手術(shù)后單眼、雙眼的遠(yuǎn)視力及近視力均較手術(shù)前提高,組間比較差異有顯著性(P0.05)。 2、除1例患者術(shù)后代償頭位尢變化外,其余患者代償頭位均有明顯改善甚至完全消失。 3、所有患者術(shù)后第一眼位及術(shù)前靜止眼位的震頻、震幅、震強(qiáng)均較術(shù)前第一眼位減小,術(shù)后注視持續(xù)時(shí)間均較術(shù)前延長,各組間比較差異有顯著性(P0.05)：此外,僅術(shù)前注視持續(xù)時(shí)間與術(shù)前近視力呈直線相關(guān)(P0.05),其余均無相關(guān)性(P0.05)。 4、所有患者術(shù)后遠(yuǎn)近立體視銳度及在各空間頻率下對比敏感度均較術(shù)前有不同程度的提高,與術(shù)前相比差異均有統(tǒng)計(jì)學(xué)意義(P0.05)。 結(jié)論： 1、手術(shù)治療是先天性特發(fā)性眼球震顫最主要的治療方法,通過手術(shù)不僅可以糾正代償頭位,提高患者的視力,同時(shí)有利于整體視功能的恢復(fù)。 2、眼動儀檢查可用于術(shù)前指導(dǎo)制定先天性特發(fā)性眼球震顫手術(shù)方案和術(shù)后客觀評價(jià)手術(shù)的療效。
[Abstract]:Objective: 1. To investigate the changes of overall visual function in patients with congenital idiopathic nystagmus before and after operation. 2. To evaluate the effect of Eye-tracker in the treatment of congenital idiopathic nystagmus. Methods: From January 2011 to March 2012, 25 patients with congenital idiopathic nystagmus were treated in the fourth affiliated Hospital of Kunming Medical University with compensatory head position. After detailed eye examination and other related examinations, all patients were given surgical treatment (intermediate band transposition). 1. All patients were examined with visual acuity, stereopsis and contrast sensitivity before and after operation. 2. The change of nystagmus parameters was examined by eye movement instrument before and after operation. 3. All the test data were analyzed by SPSS17.0 software. Results: 1. The visual acuity of all CIN patients before and after operation was not changed except for one patient. The distant and near visual acuity of both eyes were improved after operation in all patients with CIN, and there was a significant difference between the two groups (P 0.05). 2. Except for one patient, the compensatory head position was obviously improved or disappeared completely. 3. The frequency, amplitude and intensity of shock in the first eye position after operation and the rest eye position before operation were lower than those in the first eye position before operation, and the duration of fixation after operation was longer than that before operation, and there was significant difference among the three groups (P 0.05). There was a linear correlation between preoperative fixation duration and preoperative near visual acuity (P 0.05), while no correlation was found in the rest (P 0.05). 4. The stereoscopic acuity and contrast sensitivity at different spatial frequencies were improved in all patients, and the differences were statistically significant compared with those before operation (P 0.05). Conclusion: 1. Surgical treatment is the most important treatment for congenital idiopathic nystagmus. Surgery can not only correct the compensatory head position and improve the visual acuity of the patients, but also benefit the recovery of the whole visual function. 2. The ophthalmograph can be used to guide the operation of congenital idiopathic nystagmus before operation and to evaluate the curative effect objectively after operation.
【學(xué)位授予單位】：昆明醫(yī)科大學(xué)
【學(xué)位級別】：碩士
【學(xué)位授予年份】：2012
【分類號】：R779.6

【參考文獻(xiàn)】

相關(guān)期刊論文 前10條

1 肖林,曲建芝;雙眼先天性白內(nèi)障同時(shí)手術(shù)的評價(jià)[J];國際眼科雜志;2003年02期

2 嚴(yán)宏;朱寶義;陳隆;哈文靜;王為農(nóng);;斜視手術(shù)2100例回顧分析[J];國際眼科雜志;2006年03期

3 裴重剛;邵毅;;眼球震顫阻滯綜合征的臨床研究[J];國際眼科雜志;2006年06期

4 王國軍,楊景存;先天性眼球震顫與微量元素的關(guān)系[J];眼科研究;1997年02期

5 黃欣,胡聰;立體視的發(fā)育及檢查方法[J];中國斜視與小兒眼科雜志;2001年03期

6 楊曉慧,楊景存,曹木榮;應(yīng)用改進(jìn)的眼震圖檢查先天性眼球震顫[J];中國斜視與小兒眼科雜志;2004年01期

7 胡俊喜，楊景存;先天性眼球震顫的視功能臨床研究[J];中國斜視與小兒眼科雜志;1994年03期

8 劉玉華，馮蘊(yùn)偉，劉虹，周琦，王振東;正常和斜視兒童遠(yuǎn)近立體視的測定[J];中國斜視與小兒眼科雜志;1996年01期

9 程浩,楊景存,夏暉;先天性眼球震顫患者眼外肌本體感受器的超微結(jié)構(gòu)研究[J];中華眼科雜志;2003年01期

10 曹桂蓮,辛浩蓉,王丹,王淑霞,張銘,劉斌;兒童先天性眼球震顫行Parks中間帶移位術(shù)前后的立體視覺[J];中華眼科雜志;2004年02期

相關(guān)碩士學(xué)位論文 前1條

1 劉慧;數(shù)字化眼動儀的研制及其臨床應(yīng)用的初步研究[D];第三軍醫(yī)大學(xué);2007年

，

本文編號：1908417