Villaseñor Solares J, Riemann B I, Romanelli Zuazo A C, Riemann C D
Asociación para Evitar la Ceguera en México, Mexico City.
J Pediatr Ophthalmol Strabismus. 2000 Sep-Oct;37(5):260-5.
To report a new surgical approach that uses ocular fixation to the nasal periosteum with superior oblique tendon for patients with complete third nerve palsy.
Prospective study of 15 patients with complete third nerve palsy who underwent surgery using a superior oblique tenectomy and ocular fixation to the nasal periosteum with the superior oblique tendon fragment.
Eleven (73%) patients achieved good ocular alignment, 1 (7%) patient had a cosmetically acceptable result, and 3 (20%) patients had a cosmetically unacceptable result. Five (30%) patients had preoperative diplopia; all achieved resolution of their double vision in the primary position of gaze after surgery. Two patients without preoperative diplopia did not achieve good alignment and had diplopia postoperatively. Follow-up ranged from 8-41 months (mean: 19 months). No operative complications occurred.
Ocular fixation to the nasal periosteum with superior oblique tendon is a safe, effective, and technically undemanding option for the surgical management of patients with complete third nerve palsy.
报告一种新的手术方法，该方法通过将上斜肌腱固定于鼻骨膜来治疗完全性动眼神经麻痹患者。
对15例完全性动眼神经麻痹患者进行前瞻性研究，这些患者接受了上斜肌切除术，并将上斜肌腱碎片固定于鼻骨膜。
11例（73%）患者实现了良好的眼位矫正，1例（7%）患者获得了外观上可接受的结果，3例（20%）患者获得了外观上不可接受的结果。5例（30%）患者术前存在复视；术后所有患者在第一眼位注视时复视均消失。2例术前无复视的患者未获得良好的眼位矫正，术后出现复视。随访时间为8 - 41个月（平均：19个月）。未发生手术并发症。
用上斜肌腱固定于鼻骨膜是治疗完全性动眼神经麻痹患者的一种安全、有效且技术要求不高的手术选择。
