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下直肌断离后大度数上斜视和外斜视的手术治疗

Surgical management for large hypertropia and exotropia after disinsertion of inferior rectus muscle.

作者信息

Hong Samin, Lee Seung Jae, Lee Hyung Keun, Seong Gong Je, Han Sueng-Han

机构信息

Institute of Vision Research, Department of Ophthalmology, Yonsei University College of Medicine, Seoul, Republic of Korea.

出版信息

Ophthalmic Surg Lasers Imaging. 2008 Nov-Dec;39(6):505-7. doi: 10.3928/15428877-20081101-03.

Abstract

A patient who developed a large hypertropia and exotropia following disinsertion of the inferior rectus muscle after a blowout fracture of the orbital floor showed good primary alignment and binocular single visual field after the following staged surgeries: (1) anterior transposition of the inferior oblique muscle, (2) superior rectus muscle recession, and (3) augmented inferior transposition of the horizontal recti muscles combined with recession-resection surgery.

摘要

一名患者在眶底爆裂性骨折后下直肌离断,出现了严重的上斜视和外斜视。在接受以下分期手术后,患者获得了良好的初始眼位矫正和双眼单视野:(1)下斜肌前徙术;(2)上直肌后徙术;(3)水平直肌增强下徙术联合后徙-切除术。

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