| 系統識別號 | 376146 | | 篇 名 | Changing the Direction of Rectus Muscle Traction on the Sclera Can Alter the Refract We State-An Animal Experiment | | 並列篇名 | 改變眼外直肌的牽引方向能變更屈光狀態-動物實驗 | | 作 者 | 潘光蔭(Kwong-Yam Poon) | | 刊 名 | 中華民國眼科醫學會雜誌 | | 卷期/出版年月 | 40卷3期(2001/09) | | 頁次 | 236-242 | | 資料語文 | 英文 | | 摘要 | 一般的角膜屈光矯正手術,無論是採取激光或開刀都直接施行於角膜上,因此角膜的併發症便可能發生。本初步動物實驗是採用另一個方法變更屈光而無需直接施行於角膜本身。
用兩隻兔子的右眼作實驗。將一個內直徑大於眼球赤道約2mm的鐵線環放入並固定在眼球外的上直肌和下直肌的內側面,赤道的前方。(註:因為該兩隻兔子的內直肌和外直肌都接連眼球很後方,故不能使用)。左眼用作比對數據。
手術後第一個三十日內和第二個三十日內的平均數據顯示有放置鐵線環的右眼的驗光度數(refraction)增加;平均角膜屈光效能(average optical corneal power)減少;眼軸(axial length)縮短。這些都反應出使該兩隻是減少了近視度數。在亂視方面,從原來的常規亂視(with-the-rule astigmatism)變成了明顯的反常規亂視(against-the-rule astigmatism)。
雖然只用了兩隻兔子作實驗,而又只有上直肌和下直肌可用,但是從兩隻兔子所得到的數據來看都是同步一致升降的,沒有矛盾現象。同時又符合拉力的向量計算。其涵義是用這個方法來減少近視與亂視是可能的。因此這實驗仍具意義。(註:詳見英文本)。如利用多些眼作實驗,而且在四條眼外直肌均可使用,則此實驗的結果更可獲得實證。 Keratorefractive surgery has been widely utilized to compensate myopia and astigmatism but complications of the cornea remain underlying concerns. This preliminary animal experiment was conducted and presented to provide a possible alternative to keratorefractive surgery in reducing myopia and astigmatism without surgery on the cornea itself. The insertion of a wire ring under the extraocular rectus muscles can alter the direction of the muscular traction away from the sclera. As such, the cornea would be flattened and the refractive state altered. The results of two rabbits' eyes in this study revealed concurrent increase with the refraction, leading to increased hyperopia in the hyperopic condition of the rabbit eyes (i.e. reduced myopia in myopic eyes). The with-the-rule astigmatism became the against-the-rule astigmatism. | | 關鍵詞 | Rectus muscle traction angle,myopia,astigmatism | | CEPS分類 | 學科別>醫學與生命科學>醫學 |
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