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extraocular muscle extensive fibrosis syndrome treatment methods, extraocular muscle extensive fibrosis syndrome how to do, extraocular muscle extensive fibrosis syndrome medication

extraocular muscle extensive fibrosis syndrome treatment methods, extraocular muscle extensive fibrosis syndrome how to do, extraocular muscle extensive fibrosis syndrome medication

Diagnosis and treatment knowledge of extraocular muscle extensive fibrosis syndrome

Visiting department: ophthalmology treatment cost: about (5000-10000 yuan) in the top three hospitals in the city. Cure rate: treatment cycle: treatment method: surgical treatmentGeneral Treatment of Extensive Fibrosis Syndrome of Extraocular Muscles

First, treatment

Because the extraocular muscle tissue of this disease has been fibrosis, no matter whether the operation corrects ptosis or strabismus, the effect is not satisfactory. Foreign scholars have performed more than 5 operations on some patients, but the eye position has not been corrected after operation.

1. The correction of strabismus should be taken as the first step of surgery. First, the lower rectus muscle should be retreated or the tendon should be completely severed. The upper rectus muscle can be shortened or advanced, and the adhesion between bulbar conjunctiva and eyeball fascia and eyeball should be separated. A fixed suture should be made through muscle or sclera to fix the eyeball in the upward rotation position. At the same time, the bulbar conjunctiva and eyeball fascia should also be retreated.

2. The correction of ptosis should be considered as the second step of operation, and the shortening of levator palpebrae superioris muscle is almost ineffective. Letson and Crawford advocate suspension to correct blepharoptosis, which can be done with fascia lata or preserved allogeneic sclera. Because there is no Bell phenomenon in patients, exposure keratitis should be prevented after operation, so it is advisable to correct it with low correction, and the upper eyelid edge can only be corrected to the upper edge of pupil, and overcorrection should not be avoided. If you don't have surgery, you can wear bracket glasses, and you can also achieve cosmetic results.

Second, the prognosis

Because the muscle tissue has fibrosis, the surgical correction effect is not satisfactory.

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