Lorenz B, Raab I, Boergen K P
University Eye Clinic, Munich, Germany.
J Pediatr Ophthalmol Strabismus. 1992 Jan-Feb;29(1):21-9. doi: 10.3928/0191-3913-19920101-06.
In a retrospective study on 42 patients who had surgery between 1982 and 1990, the immediate as well as the long-term effect of three different surgical procedures on the dissociated vertical deviation (DVD) was studied. The procedures were: Faden operation of Cüppers of the superior rectus muscle 12 to 14 mm posterior to its insertion (10 patients); Faden operation of the superior rectus muscle 12 to 14 mm posterior to its initial insertion combined with a 3-millimeter recession of the muscle (7 patients); and large recession of the superior rectus muscle of 10 mm in a hang-loose technique (25 patients). The initial effect on the DVD was similar in the Faden group and in the group of the large recession. However, the long-term effect of the Faden operation was clearly superior to the large recessions. The Faden operation must be combined with a recession of the superior rectus muscle of at least 3 mm to avoid undercorrections if the original angle of deviation is larger than 14 prism diopters. The results are compared with those of other authors.
在一项针对1982年至1990年间接受手术的42例患者的回顾性研究中，研究了三种不同手术方法对分离性垂直偏斜（DVD）的即刻及长期影响。手术方法如下：在直肌附着点后12至14毫米处进行上直肌Cüppers缝线固定术（10例患者）；在上直肌初始附着点后12至14毫米处进行上直肌缝线固定术并联合该肌肉3毫米后徙术（7例患者）；以及采用松弛技术进行10毫米的上直肌大后徙术（25例患者）。缝线固定术组和大后徙术组对DVD的初始影响相似。然而，缝线固定术的长期效果明显优于大后徙术。如果原偏斜角度大于14棱镜度，缝线固定术必须联合至少3毫米的上直肌后徙术以避免矫正不足。将结果与其他作者的结果进行了比较。
