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与下斜肌分级后徙术相比,V型斜视的下斜肌前徙术

Anterior transposition compared to graded recession of the inferior oblique muscle for V-pattern strabismus.

作者信息

Minguini Nilza, de Carvalho Keila Monteiro, de Araújo Leandro, Crosta Cybele

机构信息

Department of Ophthalmology, Clinical Hospital of Campinas State University, Campinas, SP, Brazil.

出版信息

Strabismus. 2004 Dec;12(4):221-5. doi: 10.1080/09273970490512165.

Abstract

OBJECTIVE

To compare the efficacy of anterior transposition (AT) and graded recession (GR) in the treatment of V- pattern strabismus caused by overaction of the inferior oblique muscle.

METHODS

The charts of surgically treated cases of V-pattern strabismus were analyzed retrospectively and the patients classified as AT or GR. Age, initial horizontal deviation, initial V-pattern and the amount of V-pattern correction were compared between the two groups.

RESULTS

There was no significant difference in age (p = 0.066), initial horizontal deviation (p = 0.59), initial V-pattern (p = 0.15) or the amount of V-pattern correction (p = 0.78) between the two groups.

CONCLUSION

AT is at least as effective as GR in the treatment of V-pattern strabismus caused by overaction of the inferior oblique muscle.

摘要

目的

比较前徙术(AT)和分级后徙术(GR)治疗下斜肌亢进引起的V型斜视的疗效。

方法

回顾性分析接受手术治疗的V型斜视病例的病历,并将患者分为AT组或GR组。比较两组患者的年龄、初始水平斜视度、初始V型斜视度及V型斜视矫正量。

结果

两组患者在年龄(p = 0.066)、初始水平斜视度(p = 0.59)、初始V型斜视度(p = 0.15)或V型斜视矫正量(p = 0.78)方面均无显著差异。

结论

在治疗下斜肌亢进引起的V型斜视方面,前徙术至少与分级后徙术效果相当。

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