利用Gore-Tex®縫線對脫位人工水晶體進行固定手術

Abstract

即便對經驗豐富的眼科醫師而言，人工水晶體脫位後重新固定亦是一場浩大的工程。雖然人工水晶體重新置入併以縫線固定手術已行之有年，要完成此手術仍必須將角膜傷口擴大才能將舊的人工水晶體取出而置入新的人工水晶體。因此術後除了造成傷口需更長的癒合時間外，也會造成角膜高度閃光之問題。本篇提出一項新的人工水晶體縫合固定手術，不需將舊有脫位之人工水晶體取出，而是將其直接固定在眼球內部，以減少前述之副作用。  Background and Purpose: This study is the first to examine whether the execu-tive functions (EFs) of children with high-functioning autism spectrum disorder (CWHFA) can be improved through figure skating (FS) experiences. Methods: In this single-case experimental study, a qualified FS coach trained two CWHFA by follow-ing the training system developed by the Ice Skating Institute. Multiple baselines of the two CWHFA were formed on several target indices, including EF subcomponents (Taiwanese Traditional-Chinese Childhood Executive Functioning Inventory) and repetition behaviors (Repetitive Behavior Scale-Revised). Social validation was also conducted via interviewing their mothers. Results: The results indicated that both of the CWHFA made progress on FS techniques during their 12 sessions of lessons in 6 weeks. The improved inhibitory control and repetitive behaviors were correlated with and might have probably been modiated by the FS experiences. The positive effects might have transferred to their daily lives. Conclusion: The results suggested that FS experiences helped the two CWHFA on their FS skills and bettered their inhibitory control as well as lowered their repetitive behaviors. Future randomised controlled trials further examining this effect are warranted.