摘要
目的探讨下斜肌减弱手术不同方式治疗下斜肌亢进和V征的临床效果。方法下斜肌亢进122例160眼,包括原发下斜肌亢进20例37眼及继发下斜肌亢进102例123眼,采用不同手术方式,对其手术效果进行比较。结果122例中术前82例有代偿头位(67.21%)者,术后82例中代偿头位消失50例,好转28例,无效4例。下斜肌减弱术的手术方式:断腱术6眼;部分切除24眼;后徙80眼;前转位50眼。术前下斜肌亢进程度+1,21眼;+2,91眼;+3,42眼;+4,6眼;术后残留下斜肌+1,3眼;其余均得到矫正。术前V型斜视48例,术后V征消失38例,好转10例。单纯下斜肌减弱矫正原在位垂直斜度≤15△。结论下斜肌部分切除、后徙及前转位术矫正下斜肌亢进及V征同样安全有效。
Objective To investigate the effect of the different surgical methods include myectomy, recession, and anterior transpostion in treatment inferior oblique muscle（IO） overaction and V patterns. Methods Review the surgical effects and compare the results 122 patients （160 eyes）inferior oblique muscle overaction include primary inferior oblique muscle overaetion 20 patients （37eyes） and secondary inferior oblique muscle overaetion 102 patients（ 123 eyes）. Results 82 patients of 122 were present abhor-mal head position, 40 patients had no abnormal head position. After postoperative 50 of 82 patients abnormal head position were e- liminated, 28 patients of 82 turned for the better, 4 patients also were present head tilt. Before the operation IO 21 eyes had ＋ 1, 91 eyes had ＋2, 42 eyes had ＋3, 6 eyes had ＋4, 48 patients combined with V pattern. After the operation only 4 eyes had ＋ 1 IO, 152 eyes IO were eliminated. 38 patients V pattern were eliminated, 10 patients turned better. Among the IO weakening surgical procedure, IO myectomy had 23 eyes, IO recession had g0 eyes, IO anterior transposition had 50 eyes. Isolated inferior oblique muscle weakening was an effective treatment option for 15 PD of vertical deviation in primary position. Conclusions The IO myectomy, IO recession,and IO anterior transposition were equally effective and safe for correcting of inferior oblique muscle overaction and V pattern.
出处
《眼外伤职业眼病杂志》
北大核心
2007年第9期707-709,共3页
Journal of Injuries and Occupational Diseases of the Eye with Ophthalmic Surgeries
关键词
下斜肌亢进
手术方式
inferior oblique muscle overaction
surgical methods
