采用肌后间隙缝合和后缩-切除术增强的全肌腱转位术。
Full tendon transposition augmented with posterior intermuscular suture and recession--resection surgery.
作者信息
Hong Samin, Chang Yoon-Hee, Han Sueng-Han
机构信息
Institute of Vision Research, Department of Ophthalmology, Yonsei University College of Medicine, Seoul, Korea.
出版信息
Korean J Ophthalmol. 2006 Dec;20(4):254-5. doi: 10.3341/kjo.2006.20.4.254.
PURPOSE
To report an effect of the full tendon transposition augmented with posterior intermuscular suture and recession-resection surgery, for the patient with monocular elevation deficiency (MED) and large exotropia.
METHODS
Interventional case report. Full tendon transposition augmented with posterior intermuscular suture and recession-resection surgery was performed for a 26-year-old male patient had monocular elevation deficiency (MED) and large exotropia.
RESULTS
Preoperative angle of deviation was 56 prism diopters (PD) hypotropia and 45 PD right exotropia, compared with 18 PD left hypertropia and 10 PD right esotropia postoperatively. Essotropia persisted after 2.5 years, however, and so the right medial rectus was recessed after removal of the previous posterior intermuscular suture. At a three-year follow-up after the second surgery, alignment was straight in the primary position at near and far distances.
CONCLUSIONS
Full tendon transposition augmented with posterior intermuscular suture and recession-resection surgery was effective for a patient with MED associated with significant horizontal deviation, and a second operation was easily performed when overcorrection occurred.
目的
报告采用肌间后缝合增强的全肌腱转位联合后徙-切除术治疗单眼上睑下垂（MED）合并大度数外斜视患者的疗效。
方法
介入性病例报告。对一名患有单眼上睑下垂（MED）和大度数外斜视的26岁男性患者进行了肌间后缝合增强的全肌腱转位联合后徙-切除术。
结果
术前斜视度为下斜视56三棱镜度（PD）和右眼外斜视45 PD，术后为左眼上斜视18 PD和右眼内斜视10 PD。然而，2.5年后内斜视仍持续存在，因此在拆除先前的肌间后缝线后，对右眼内直肌进行了后徙。第二次手术后三年随访时，远近注视时第一眼位均正位。
结论
肌间后缝合增强的全肌腱转位联合后徙-切除术治疗合并明显水平斜视的MED患者有效，发生过矫时易于进行二次手术。
Zotero 插件