Thacker Neepa M, Velez Federico G, Rosenbaum Arthur L
Jules Stein Eye Institute, Department of Ophthalmology, University of California-Los Angeles, 100 Stein Plaza, Los Angeles, CA 90095, USA.
J AAPOS. 2005 Apr;9(2):137-40. doi: 10.1016/j.jaapos.2004.12.004.
We sought to report the results of combined adjustable suture resection and recession of a rectus extraocular muscle in a subset of patients who are asymptomatic in the primary position but diplopic in secondary functional gaze positions.
We undertook a retrospective chart review of 12 patients who underwent a surgical procedure consisting of combined resection and recession of the same rectus extraocular muscle on adjustable suture, the amount of recession being double the amount of resection.
The amount of incomitance reduced from a preoperative mean of 11.6 prism diopters (PD) to a postoperative mean of 2.9 PD. All 4 rectus muscles underwent operation No significant change in the primary position alignment occurred. Diplopia was eliminated in 11 of the 12 patients postoperatively.
The combined adjustable suture resection and recession operation is an effective and easy procedure for treatment of this subset of patients with incomitant strabismus.
我们试图报告在一组患者中，对在第一眼位无症状但在第二功能注视位出现复视的患者进行直肌可调缝线切除术联合后徙术的结果。
我们对12例接受手术治疗的患者进行了回顾性病历审查，手术包括对同一条直肌进行可调缝线切除术联合后徙术，后徙量为切除量的两倍。
斜视度从术前平均11.6棱镜度（PD）降至术后平均2.9 PD。所有4条直肌均接受了手术，第一眼位的眼位对准没有显著变化。12例患者中有11例术后复视消失。
可调缝线切除术联合后徙术是治疗这一类型非共同性斜视患者的一种有效且简便的手术方法。
