Sharma Pradeep, Gogoi Madhurjya, Kedar Sachin, Bhola Rahul
Dr Rajendra Prasad Centre for Ophthalmic Sciences, All India Institute of Medical Sciences, Ansari Nagar, New Delhi 110029, India.
J AAPOS. 2006 Aug;10(4):324-7. doi: 10.1016/j.jaapos.2006.02.005.
We present a new technique of anchoring the eyeball to the nasal periosteum using a nonabsorbable suture in acquired isolated third-nerve paresis.
This was a case series of 4 consecutive adult subjects with isolated third-nerve paresis. After a 12-mm lateral rectus muscle recession in all 4 subjects, we passed 5-O double-armed polyester (NW683 Ethibond; Ethicon, Division of Johnson and Johnson Ltd., Aurangabad, India) on spatulated needles through the periosteum overlying the anterior lacrimal crest (exposed as in a Dacryocystorhinostomy procedure) at its superior part. The needles were brought anterior to the medial rectus muscle insertion and tightened enough to align the eye in 8-10 prism diopters adducted position.
Ocular alignment in the primary gaze was satisfactory at 6-12 months of follow up.
The use of a nonabsorbable polyester suture to anchor the globe to the nasal periosteum is an additional technique that holds promise to align the eyes in the primary gaze.
我们介绍一种在获得性孤立性动眼神经麻痹中使用不可吸收缝线将眼球固定于鼻骨膜的新技术。
这是一个包含4例连续性成年孤立性动眼神经麻痹患者的病例系列。在所有4例患者均进行12毫米外直肌后徙术后，我们用带铲形头的针穿入5-0双臂聚酯缝线（NW683 Ethibond；Ethicon，强生有限公司分公司，印度奥兰加巴德），经泪前嵴上方的骨膜（如同泪囊鼻腔吻合术那样暴露）上部穿出。针从内直肌附着点前方穿出并收紧，以使眼睛处于内收8 - 10棱镜度的位置。
随访6 - 12个月时，第一眼位的眼位矫正效果令人满意。
使用不可吸收聚酯缝线将眼球固定于鼻骨膜是一种有望使眼睛在第一眼位获得眼位矫正的附加技术。
