Archer Steven M
W. K. Kellogg Eye Center, University of Michigan, Ann Arbor, Michigan 48105, USA.
Am Orthopt J. 2011;61:6-12. doi: 10.3368/aoj.61.1.6.
Paretic vertical deviations are characterized by complex patterns of incomitance that make them some of the most challenging strabismus problems to treat. Optimum results are obtained by performing surgery on those muscles, selected from among the eight cyclovertical muscles in the two eyes, that minimize the incomitance. In superior oblique paresis the additional factors of torticollis and torsion need to be addressed and aberrant regeneration can alter the surgical plan in third nerve paresis.
麻痹性垂直偏斜的特征是存在复杂的非共同性模式，这使得它们成为最难治疗的斜视问题之一。通过对两眼八根斜肌中选定的肌肉进行手术，以尽量减少非共同性，可获得最佳效果。在上斜肌麻痹中，斜颈和眼球旋转的额外因素需要得到处理，而异常再生会改变动眼神经麻痹的手术方案。
