Parvataneni Mrunalini, Olitsky Scott E
Children's Mercy Hospital, Kansas City, Missouri 64108, USA.
J Pediatr Ophthalmol Strabismus. 2005 May-Jun;42(3):163-5. doi: 10.3928/01913913-20050501-04.
Anterior transposition of the inferior oblique muscle generally is restricted to bilateral cases because of reports of postoperative ipsilateral hypotropia or significant limitation of elevation when performed unilaterally. We performed unilateral anterior transposition of the inferior oblique muscle in patients with vertical and horizontal strabismus who were at risk of anterior segment ischemia.
Six patients underwent unilateral anterior transposition of the inferior oblique muscle in combination with a resection of the inferior oblique muscle. Two patients had lost an inferior rectus muscle in a previous procedure, and four patients had coexistent horizontal and vertical strabismus of various etiologies as well as poor unilateral vision.
All six patients achieved vertical alignment within 10 prism diopters.
Unilateral anterior transposition of the inferior oblique muscle appears to be a useful procedure in selected patients with vertical strabismus.
下斜肌前徙术通常仅限于双侧病例，因为有报道称单侧进行该手术会导致术后同侧下斜视或上抬明显受限。我们对有前段缺血风险的垂直和水平斜视患者进行了单侧下斜肌前徙术。
6例患者接受了单侧下斜肌前徙术并联合下斜肌切除术。2例患者在先前手术中失去了一条下直肌，4例患者同时存在各种病因导致的水平和垂直斜视以及单眼视力差。
所有6例患者均在10棱镜度内实现了垂直对齐。
单侧下斜肌前徙术对于特定的垂直斜视患者似乎是一种有效的手术方法。
