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用于治疗先天性眼球震颤的大型直肌后退术。

Large rectus muscle recessions for the treatment of congenital nystagmus.

作者信息

von Noorden G K, Sprunger D T

机构信息

Cullen Eye Institute, Baylor College of Medicine, Houston, Tex.

出版信息

Arch Ophthalmol. 1991 Feb;109(2):221-4. doi: 10.1001/archopht.1991.01080020067045.

DOI:10.1001/archopht.1991.01080020067045
PMID:1993031
Abstract

Retroequatorial recessions of the horizontal rectus muscles 10 to 12 mm behind their insertions reduced the amplitude of manifest congenital nystagmus in three patients. Modest improvement of visual acuity occurred in two patients. In a third patient with periodic alternating nystagmus, a compensatory head turn was eliminated by shifting the neutral zone of the nystagmus to the primary position of gaze. In spite of large recessions of the muscle insertions, none of the patients had a functionally significant postoperative limitation of ocular motility.

摘要

在水平直肌附着点后10至12毫米处进行赤道后徙术,使3例患者明显的先天性眼球震颤幅度减小。2例患者视力有适度改善。在第3例周期性交替性眼球震颤患者中,通过将眼球震颤的中和带移至凝视的初始位置,消除了代偿性头位转动。尽管肌肉附着点后徙幅度较大,但所有患者术后均未出现对眼球运动功能有显著影响的受限情况。

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