固定性内斜视手术矫正后的眼直肌路径
Rectus eye muscle paths after surgical correction of convergent strabismus fixus.
作者信息
Yamada Masakazu, Taniguchi Sayuri, Muroi Tomomi, Satofuka Shingo, Nishina Sachiko
机构信息
Department of Ophthalmology, Keio University School of Medicine, Tokyo, Japan.
出版信息
Am J Ophthalmol. 2002 Oct;134(4):630-2. doi: 10.1016/s0002-9394(02)01587-8.
PURPOSE
To present a new surgical procedure for convergent strabismus fixus.
DESIGN
Interventional case report.
METHODS
A 69-year-old woman was referred to us because of esotropia of both eyes. Both eyes were fixed in a position of extreme adduction, and ocular motility was severely restricted in all directions. Magnetic resonance imaging demonstrated that the superior rectus (SR) was deviated nasally and the lateral rectus (LR) was deviated inferiorly. We performed operations for both eyes consisting of hemitranspositions of the SR and LR combined with a large recession of the medial rectus.
RESULTS
Postoperatively, the patient became able to fixate in primary gaze and ocular motility markedly improved in all directions. Magnetic resonance imaging confirmed that the paths of the SR and LR were corrected.
CONCLUSIONS
This surgical procedure appears to be a useful option for treating convergent strabismus fixus.
目的
介绍一种治疗固定性内斜视的新手术方法。
设计
介入性病例报告。
方法
一名69岁女性因双眼内斜视前来就诊。双眼固定于极度内收位，各方向眼球运动严重受限。磁共振成像显示上直肌向鼻侧移位，外直肌向下移位。我们对双眼进行了手术，包括上直肌和外直肌的半转位联合内直肌的大量后徙。
结果
术后，患者能够在第一眼位注视，各方向眼球运动明显改善。磁共振成像证实上直肌和外直肌的走行得到纠正。
结论
这种手术方法似乎是治疗固定性内斜视的一种有效选择。
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