@

@́A@@Eߍ]Y19N421ɊJÂ܂u㐧x46uKvɂāwuvC}EPAEV[Y42vΎE؎p̐ixƂe[}ɂāuǏ؊JΎpvƂɂčus܂̂ŁA̍ۂ̎e]ڂ͂܂B

@Ύp̌؊J@1j2jƂāA@֕؊J@ilimbal incisionjAAٗ؊J@itransconjunctival incision in the palpebral openingkSwanljAB~W؊J@itransconjunctival incision in the cul-de-sackParkslĵR‚\Ił邪AꂼɈ꒷ZB
@@֕؊J@́AݍłpĂ@ŁALpŊmȎp”\ł邪A؊JnL͂ɋyԂƂANPpፍemgD̉ߌ`NՂB
@Aٗ؊J@io؊J@j́A؂̕tt߂ɕtƕsɈ{̐؊J@ŁA؂̘Io܂ł̎Ԃ͒ZpNPȂA؎płٗɐ؊JnIo邱Ƃ琮eIɕsƂȂB
@B~W؊J@́A؂̉܂͏ɋ؂̑sƕsɈ{̌؊J@ŁA؊Jn͒ZNPȂAȑnʂđsߎZώGŏnv̂_Ƃ܂ōlĂB
@AΎÂ̖ړIƂāAp҂͎@\̉PɊwpIDꂪł邪A҂̍ő֐Seẻ񕜂ɂ邱Ƃ͏ȂȂBŋ߂ɂȂAGuyton̏؊JΎp3j4jiParks~W؊J@ǂ́j͂߂Ƃ錋Ȃׂ؊JŎΎpsp҂‚‚B
@@łȂׂSɂČł̏؊JΎpS|ĂAł͎ۂ̎pZ𒆐Sɂb\łB

 

iPj؊JOɌ蓧Ă݂ړI؂̗֊smFĂƂłdvłBʂɍ҂ł͌eՂɂ킩邪AǗɂ킩ꍇ́AI͑IɊዅ𓮂ƂŁAړIƂ钼؂̑Oїl̓Ö̓ƘAēȂƂ蒼؂̗֊sm邱ƂłB
iQjIɗΓp͂߂ƂΎȊO̎p󂯂”\Ap㐮elAȂׂуemւ̐NPȂȂ悤ȍŏ̌؊J@iłΐjIB
iRjł邾؊JnAقʼnB悤zB
iSj ؂̑sɂ錋؊J͔B
iTjʂɔNȂɂāA̒e⋭xቺ̂ŁAᒆNłȂǗł͏؊J͂߂ĂAKvɉčŏ̂Ȃ錋؊JSOȂljKv B

 


@SgŎ{sKv̂ȂΎpŋǏiׂăemXjpĂBƂĂ͑O͍sĂȂ BǏł̎Ύpł́AɊ؂͍̌ŏƂAS˂uɂȂ悤ɁAJɊ؂KvƂƂɁAvocal anesthesiaiƗ\z銴o炩ߍ邱ƂɂA҂͗]TĂełjdvłB܂p؂̔Ε݂悤ɖ邱Ƃ؂łBemX̎ZƂẮA_ᖃł̌iуemj؊JA؊J[쎮s|Cg24Q[WjiݐjjɉĊዅ܂œA2ELVJCiGsltY2_hJCjQ`Rmli܂萶Ȃx̍őʁj𒍓AړI،Q͂ɏ\Z܂ő҂‚悤ɐS|ĂB


@ʂɌ݂̏p҂Apgp{o჋[y͗ŎΎpsĂB̗RƂẮAړI؂ɑ΂čłAv[`₷ꏊp삪”\ł邱ƂApւ̊‚Cɂp”\ł_BAŋ߂̎pł͑ΕY̏œ_200mm̂̂yĂĂA΋؎p܂ނׂĂ̎ΎpŎpiΕY̏œ_200mmjgpĂBœ_200mmƁAʂ̎Ύpɂ銱‚܂Cɂp”\łApgp̍ő̗_͒͂p҂ɂAg嗦Cӂɑ傫邱ƂtH[JVOɂɖ邢Nȑ邱ƂŁAEؕȂǂ̏pǂ̑邱Ƃ⌋D”\Ȍ蒚Jɂł邩łB܂A^łƂ_Bpፍŏɂ邽߂ɂ́Apł̕KvŒ̎~܂߂ɍsƂdvƍlB

 

i@j
1jHelveston EMFAtlas of Strabismus Surgery.3rd ed.CV Mosby,St Louis,99-119,1985
2jBu FΎp̊{pƗʒ[؎pD۔qviҁjFȐfÃvNeBX4DΎfÂ̎ہDCC132-9C1996
3jGuyton DL Fornix approach with adjustable sutures.inFGottsch JD,Stark WJ,Goldberg MF(Eds):Ophthalmic Surgery,5th ed Arnold,London,85-91,1999
4jJC쒆MCRMiCTC匎mFGuyton̏؊JΎpƎp.Պ55F1767-70C2001


z[