Krásný J, Kubistová V
Dĕtská ocní klinika FNsP Motol a 2. LF UK, Praha.
Cesk Oftalmol. 1992 May;48(3):186-90.
The authors present an account of a comprehensive two-stage solution of divergent paralytic strabismus in ophthalmoplegia without marked affection of the upper eyelid. In the first stage they implement a free technique retroposition of the external rectus muscle by 6.5 mm and myectomy of the internal rectus by 10-12 mm. In the second stage they supplement the surgical procedure by transposition of the superior oblique muscle according to Scott's method. In five children with unilateral paresis of the IIIrd nerve mere transposition improved hypertropia by a maximum of 5 degrees and exotropia by a maximum of 10 degrees.
作者介绍了一种针对无明显上睑受累的眼肌麻痹性斜视的两阶段综合解决方案。第一阶段,他们采用一种游离技术,将外直肌向后移位6.5毫米,并切除内直肌10 - 12毫米。第二阶段,他们根据斯科特方法,通过上斜肌转位来补充手术操作。在5例单侧动眼神经麻痹的儿童中,单纯转位最多可使上斜视改善5度,外斜视改善10度。