Hayashi T, Iwashige H, Maruo T
Department of Ophthalmology, Teikyo University School of Medicine, Tokyo, Japan.
Acta Ophthalmol Scand. 1999 Feb;77(1):66-71. doi: 10.1034/j.1600-0420.1999.770115.x.
The purpose of this study was to evaluate the clinical and physiological findings and to determine the most appropriate surgical procedure for acquired progressive esotropia with severe myopia.
Thirty-eight cases of acquired progressive esotropia with severe myopia were examined to evaluate their clinical and physiological findings. All cases were divided into four groups according to the limitation of their abduction. The eyeball in group IV is fixed in an extremely adducting position. Thirty-one cases underwent strabismus surgery; medial rectus muscle recession and lateral rectus muscle resection in 23 cases, transposition of superior and inferior rectus muscles (modified Jensen procedure included) in eight cases.
The medial rectus muscle recession with the lateral rectus muscle resection procedure was effective in the early stage of acquired progressive esotropia patients. Transposition procedure was effective in the severe abducting limited patients.
As the recession & resection procedure is easier than the transposition procedure, we recommend performing surgery in the earlier stage of the abducting disorder before the eyeball is fixed in an extremely adducting position.
本研究旨在评估临床和生理检查结果，并确定针对获得性进展性内斜视伴高度近视的最合适手术方法。
对38例获得性进展性内斜视伴高度近视患者进行检查，以评估其临床和生理检查结果。根据外展受限情况将所有病例分为四组。第四组眼球固定于极度内收位。31例患者接受了斜视手术；23例行内直肌后徙联合外直肌缩短术，8例行上下直肌移位术（包括改良Jensen手术）。
内直肌后徙联合外直肌缩短术对获得性进展性内斜视患者早期有效。移位术对严重外展受限患者有效。
由于后徙缩短术比移位术操作更简单，我们建议在眼球固定于极度内收位之前的外展障碍早期阶段进行手术。
