Wei Yan, Kang Xiaoli
Xin Hua Hospital Affiliated to the Shanghai Jiao Tong University School of Medicine, Shanghai 200092, China.
Xin Hua Hospital Affiliated to the Shanghai Jiao Tong University School of Medicine, Shanghai 200092, China. Email:
Zhonghua Yan Ke Za Zhi. 2014 Jul;50(7):547-9.
Highly myopic strabismus, also known as 'heavy eye syndrome' or 'myopic strabismus fixus', is an acquired restrictive strabismus occurred in patients with pathologic myopia. Patients often manifest extreme esotropia, hypotropia and restrictive ocular motility.Recession of medial rectus and resection of lateral rectus, even dis-insertion of medial rectus surgery often have limited effect in the severe high myopia strabismus, and susceptible to recur postoperatively.In the European strabismus meeting of 2001, Yokoyama first proposed a new surgical idea, he suggested to union the lateral rectus and superior rectus together, and use it as a muscle pulley to push the herniated eyeball back into the muscle cone. After that, a series of studies focused on the specific surgical operation methods. The objective of this article is to review recent research progress of highly myopic strabismus surgery, in order to give some recommendations for the improvement of surgical treatment.
高度近视性斜视，也被称为“重度眼综合征”或“固定性近视性斜视”，是一种发生于病理性近视患者的后天性限制性斜视。患者常表现为极度内斜视、下斜视和限制性眼球运动。内直肌后徙和外直肌缩短术，甚至内直肌断腱术在重度高度近视性斜视中往往效果有限，且术后易复发。在2001年的欧洲斜视会议上，横山首次提出了一种新的手术思路，他建议将外直肌和上直肌联合在一起，并将其作为一个肌滑车，将脱出的眼球推回肌锥内。此后，一系列研究聚焦于具体的手术操作方法。本文的目的是综述高度近视性斜视手术的最新研究进展，以便为改进手术治疗提供一些建议。
