Quere M A, Pechereau A, Clergeau G
J Fr Ophtalmol. 1978 Feb;1(2):151-61 contd.
This paper is the second part of a work devoted to the surgery of functional esotropias. The Authors bring a systematic study of fundamental motor impairments, and their particular management. Sucessively they consider the length, the alterations of contractible properties and the visco elastic changes of ocular muscles. Then they point out the partical means to reveal those troubles by clinical examination, electro-oculography, study of eye position during anesthesia and muscular traction test. They underline the advantages, limits and drawbacks of Fadenoperation. Theorically and practically, a too posterior scleral fastening is dangerous. To avoid some complications of Cupper's original technic, they use a personal procedure: the muscle slapping, which seems to give good results. Finally, they analyze central disorders. The electrooculographic recordings prove that motor troubles are certainly related with primitive visual impairments. They note that the frequent surgical cure means the muscle operations have a binding effect of proprioceptive nature on the central motor disorders.
本文是关于功能性内斜视手术研究工作的第二部分。作者对基本运动障碍及其特殊处理方法进行了系统研究。接着，他们研究了眼肌的长度、可收缩特性的改变以及粘弹性变化。然后指出通过临床检查、眼电图、麻醉期间眼位研究和肌肉牵引试验来发现这些问题的具体方法。他们强调了Faden手术的优点、局限性和缺点。理论和实践上，巩膜后固定过深是危险的。为避免库珀原技术的一些并发症，他们采用了一种个人方法：肌肉拍打，似乎效果良好。最后，他们分析了中枢性障碍。眼电图记录证明运动障碍肯定与原始视觉障碍有关。他们指出，频繁的手术治疗意味着肌肉手术对中枢运动障碍具有本体感受性质的约束作用。
