Mittelman D, Folk E R
Trans Sect Ophthalmol Am Acad Ophthalmol Otolaryngol. 1975 Sep-Oct;79(5):783-44.
Nineteen patients with residual esotropia following conventional maximum horizontal recess-resect surgery were treated by further recession of the medial rectus muscle to a point 13.5 mm from the limbus. Six of these patients also underwent an 8-mm resection of the ipsilateral lateral rectus in addition to the medial recession. Eighteen of the patients achieved a good to excellent cosmetic result in the primary position. One patient was markedly overcorrected probably secondary to an unwarranted lateral rectus resection. Most of the patients showed some mild limitation of adduction, but this was generally not a significant cosmetic or functional defect. The degree of limitation seen was no greater than that which has been observed in similar patients treated by marginal myotomy. Recession of the medial rectus muscle 13.5 mm from the limbus seems to be a safe and effective method of treating surgically undercorrected esotropia.
19例在常规最大程度水平后徙-切除手术后仍残留内斜视的患者，通过将内直肌进一步后徙至距角膜缘13.5毫米处进行治疗。其中6例患者除了内直肌后徙外，还对同侧外直肌进行了8毫米的切除。18例患者在第一眼位获得了良好至优秀的美容效果。1例患者明显过度矫正，可能继发于不必要的外直肌切除。大多数患者表现出一些轻度的内收受限，但这通常不是明显的美容或功能缺陷。观察到的受限程度不大于在接受边缘肌切开术治疗的类似患者中所观察到的程度。将内直肌从角膜缘后徙13.5毫米似乎是治疗手术矫正不足的内斜视的一种安全有效的方法。
