Roper-Hall Gill, Cruz Oscar A, Chung Sophia M
Department of Ophthalmology, Saint Louis University, St. Louis, Missouri 63104, USA.
J AAPOS. 2008 Jun;12(3):277-81. doi: 10.1016/j.jaapos.2007.11.013. Epub 2008 Mar 10.
To evaluate the results of extraocular surgery in patients with large exotropias from "wall-eyed" bilateral internuclear ophthalmoplegia (WEBINO).
Eight patients with WEBINO evaluated between November 1994 and October 2006 underwent extraocular muscle surgery. Three patients required a second procedure.
An 85% reduction in exodeviation occurred postoperatively. Fusion responses were demonstrable in 87.5% of patients. Other ocular signs of internuclear ophthalmoplegia (INO) such as adduction limitation, abducting nystagmus, and ocular dysmetria also improved. These results were obtained following two-staged unilateral recession-resection procedures in seven patients; the remaining patient underwent bilateral lateral rectus recessions.
Binocular outcomes are achievable in patients with WEBINO following extraocular muscle surgery, and associated ocular signs may be reduced or eliminated.
评估“外斜”型双侧核间性眼肌麻痹（WEBINO）导致的大角度外斜视患者的眼外肌手术效果。
1994年11月至2006年10月期间评估的8例WEBINO患者接受了眼外肌手术。3例患者需要二次手术。
术后外斜视度降低了85%。87.5%的患者可检测到融合反应。核间性眼肌麻痹（INO）的其他眼部体征，如内收受限、外展性眼球震颤和眼球运动失调也有所改善。7例患者接受了两阶段单侧后徙-切除术，其余患者接受了双侧外直肌后徙术，从而获得了这些结果。
WEBINO患者眼外肌手术后可实现双眼视效果，相关眼部体征可能会减轻或消除。
