Second, the local viable physical therapy: such as ultrasound, audio electrotherapy, to prevent paralysis muscle atrophy. You can also try acupuncture therapy. Paralytic strabismus treatment should generally continue to cover monocular, to prevent diplopia. Cover the patient must be rotating eyes to prevent the binocular vision function further deterioration. The cause has been eliminated, or that the lesion is no longer restored or carried out (usually in the disease stable 6 to 12 months), feasible prism correction or surgical correction.
Third, non-surgical treatment: mainly for acquired paralytic strabismus, including drugs, acupuncture and physical therapy. Such as mild paralysis, the above non-surgical treatment is invalid, the patient is not suitable for surgical treatment, may consider wearing a prism to correct diplopia. For the treatment or prevention of "commonality" strabismus, for less than 10 skew, with prism correction can get good results, but more than 10 skew, whether long-term pressure paste prism, still not sure.
For the early, heavier patients with extraocular muscle paralysis, to take the head of the compensatory position still can not eliminate diplopia, and a serious dizziness, nausea and even vomiting affect normal life, can cover one. In the past, more than advocated to cover the paralysis of the eye (non-paralyzed eyes with low vision except), is now advocated to cover the health eye, so play two roles: First, you can exercise paralysis muscle function, easy to paralyze muscle motor function recovery. Second, you can delay or avoid direct antagonism of muscle spasm or contracture. With regard to the prevention of spasms, some scholars recommend: ① in the direct fight against muscle injection paralysis or 15% alcohol, or botulinum toxin A. ② in the external rectus muscle paralysis, in front of the eye with the bottom of the prism, so that the spasm of the rectus muscle relaxation. ③ in the muscle contracture before the implementation of surgical correction.
没有评论:
发表评论