Department of Ophthalmology, Kaohsiung Veterans General Hospital, Kaohsiung, Taiwan, ROC.
J Chin Med Assoc. 2012 Aug;75(8):416-9. doi: 10.1016/j.jcma.2012.06.003. Epub 2012 Jul 21.
Acquired esotropia with high myopia may be associated with superotemporal eyeball prolapse from the muscle cone and the subsequent shift of extraocular muscles limits the success of the traditional recession-resection surgery. In this study, we report two patients diagnosed with myopic strabismus fixus with esodeviation >90 prism diopter. Marked axial elongation of globes was present in both the patients. They received medial rectus muscle recession and hemi-Jensen procedure in both eyes. Postoperatively, they showed significant improvement in abduction, elevation, and ocular alignment. We found that the combination of medial rectus muscle recession and hemi-Jensen procedure was effective in treating patients with acquired large esotropia with high myopia.
获得性高度近视性内斜视可能与上直肌从肌锥内脱出以及随后的眼外肌限制有关，这使得传统的后退-切除手术的成功率降低。在本研究中，我们报告了 2 例诊断为近视性固定性斜视伴内斜视>90 棱镜度的患者。这 2 例患者均有明显的眼球轴向伸长。他们双眼接受了内直肌后退和半 Jensen 手术。术后，他们的外展、上提和眼球对位明显改善。我们发现，内直肌后退和半 Jensen 手术相结合对治疗获得性大角度高度近视性内斜视是有效的。
