Sun Lisa L, Gole Glen A
Royal Children's Hospital, Herston, Queensland, Australia.
J AAPOS. 2011 Dec;15(6):590-2. doi: 10.1016/j.jaapos.2011.07.012.
Möbius syndrome is a rare congenital disorder characterized by bilateral facial nerve palsy and abducens nerve palsy. It is associated with a wide spectrum of systemic and ocular manifestations; esotropia is commonly the reason for ophthalmic referral. There are few published studies in the literature on strabismus surgery in Möbius syndrome. An augmented vertical rectus muscle transposition in which lateral fixation sutures are used on the transposed vertical rectus muscles (Foster augmentation) has been used to correct esotropia caused by severe sixth nerve palsy and type 1 Duane syndrome. We describe the surgical outcome after treating moderate- to large-angle esotropia in 3 patients with Möbius syndrome with the augmented vertical rectus muscle transposition.
莫比乌斯综合征是一种罕见的先天性疾病，其特征为双侧面神经麻痹和展神经麻痹。它与多种全身和眼部表现相关；内斜视通常是眼科转诊的原因。关于莫比乌斯综合征斜视手术的文献报道很少。一种改良的垂直直肌转位术，即在转位的垂直直肌上使用外侧固定缝线（福斯特改良术），已被用于矫正由严重的第六神经麻痹和1型杜安综合征引起的内斜视。我们描述了采用改良垂直直肌转位术治疗3例莫比乌斯综合征患者中重度至大角度内斜视后的手术效果。
