摘要
本院收治1例重眼综合征患者,有双眼高度近视病史,右眼曾行玻璃体切除手术,术后1年出现右眼固定性内下斜并行常规斜视矫正术.右眼斜视术后又出现双眼固定性内下斜并再次行常规斜视矫正术,随后再次发生双眼内下斜.该患者之前均诊断为非共同性内斜视,诊断不够准确,导致手术设计不合理,术后再次出现内下斜,本次就诊确诊为双眼重眼综合征,并行改良Yokoyama手术,术后双眼内斜视未复发.提高重眼综合征的诊断准确性,避免因诊断为单纯性内斜视,采用不适宜的治疗方法导致疾病复发需多次手术,只有准确的诊断和合适的治疗才能让患者及家属早期获益.
Abstract
A patient with heavy eye syndrome was admitted to the hospital.He had high myopia in both eyes.One year after vitrectomy for right eye,there was a fixed internal deviation and conventional strabismus correction surgery was performed.After the right eye strabismus surgery,he developed a fixed inward and downward strabismus in both eyes,and underwent another conventional strabismus correction surgery,which was followed by recurrence of inward and downward strabismus in both eyes.He had previously been diagnosed with non-concomitant esotropia;this inaccurate diagnosis led to unreasonable surgical design,and recurrence of inward and downward strabismus after surgery.He was eventually diagnosed with heavy eye syndrome in both eyes and underwent a modified Yokoyama surgery.He showed no recurrence of binocular in-ward and downward strabismus after the surgery.The diagnostic accuracy of heavy eye syndrome must be improved,to avoid use of inappropriate treatment methods as a result of misdiagnosis as simple esotropia,as well as subsequent disease recur-rence requiring multiple surgeries.Early-stage accurate diagnosis and treatment methods are necessary to benefit patients and their families.
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