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[通过斜肌矢状切开术治疗斜视。关于449例病例]

[Surgical treatment of strabismus by sagittal cutting of the oblique muscles. Apropos of 449 cases].

作者信息

Maselli E, Gaddi D, Ciasca S

机构信息

Divisione Oculistica, Ospedale Civile, Sondrio-Italie.

出版信息

J Fr Ophtalmol. 1992;15(4):243-7.

PMID:1430799
Abstract

The theoretical proposals and the therapeutic approach described at the beginning of the sixties by Gobin concerning the treatment of incomitant strabismus have had such positive results as to convince many surgeons to adopt this methodology. The principal merit of Gobin's technique lies in evaluation of all aspects of the strabismus (horizontal, vertical and oblique) searching for the obstacles to ocular movements which cause alteration of binocular vision and removing them. According to the above criteria, we have operated 449 cases of incomitant strabismus due to sagittalization of the oblique muscles. The validity of this technique has been demonstrated by the results obtained in a single operation (a success rate of over 50%). With a second operation the success rate was increased to 70% (orthophoria, heterophoria and esthetic angle < 7 degrees).

摘要

20世纪60年代初戈宾提出的关于非共同性斜视治疗的理论建议和治疗方法取得了如此积极的成果,以至于说服了许多外科医生采用这种方法。戈宾技术的主要优点在于评估斜视的所有方面(水平、垂直和斜向),寻找导致双眼视觉改变的眼球运动障碍并消除它们。根据上述标准,我们对449例因斜肌矢状化导致的非共同性斜视病例进行了手术。单次手术获得的结果证明了该技术的有效性(成功率超过50%)。进行二次手术后,成功率提高到了70%(正位视、隐斜视和美观角度<7度)。

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