Nishida 手术联合内直肌后徙术治疗 Duane 综合征的大角度内斜视。

Nishida's procedure combined with medial rectus recession for large-angle esotropia in Duane syndrome.

机构信息

Division of Ophthalmology, National Center for Child Health and Development, 2-10-1 Okura, Setagaya-ku, Tokyo, 157-8535, Japan.

出版信息

Jpn J Ophthalmol. 2011 May;55(3):264-267. doi: 10.1007/s10384-011-0020-8. Epub 2011 May 11.

DOI:10.1007/s10384-011-0020-8

PMID:21559912

Abstract

BACKGROUND

Two patients presented large-angle esotropia due to unilatelal Duane syndrome type I.

CASES

We report the course of a simple muscle transposition procedure (the Nishida procedure) with medial rectus muscle recession for large-angle esotropia in two cases of unilateral Duane syndrome type I.

OBSERVATIONS

Case 1: A 5-year-old boy had Duane syndrome type I OS. He had esotropia of 40 prism diopters, and the left eye could not abduct to the midline. Postoperatively, his esotropia decreased to 6 prism diopters and the abduction improved to 45°. Case 2: A 5-year-old girl had Duane syndrome type I OS with a marked facial turn. She had esotropia of 40 prism diopters in primary position, and the left eye could not abduct to midline. Postoperatively, the facial turn resolved, the esotropia decreased to 8 prism diopters, and the abduction improved to 30°.

CONCLUSION

This procedure improves large-angle esotropia and abduction deficits in unilateral Duane syndrome type I.

摘要

背景

两名患者因单侧第一型 Duane 综合征出现大角度内斜视。

病例

我们报告了两例单侧第一型 Duane 综合征患者中，通过内直肌后退的简单肌肉移位手术（Nishida 手术）治疗大角度内斜视的过程。

观察结果

病例 1：一名 5 岁男孩患有左侧第一型 Duane 综合征。他的内斜视为 40 棱镜度，左眼无法向中线外展。手术后，他的内斜视减少到 6 棱镜度，外展改善到 45°。病例 2：一名 5 岁女孩患有左侧第一型 Duane 综合征，伴有明显的面部偏斜。她的内斜视为 40 棱镜度，左眼无法向中线外展。手术后，面部偏斜得到纠正，内斜视减少到 8 棱镜度，外展改善到 30°。