Tomarchio Salvatore, Sabetti Lelio, Tomarchio Mario, Berarducci Antonio
J Pediatr Ophthalmol Strabismus. 2015 Jan-Feb;52(1):58-60. doi: 10.3928/01913913-20141230-09.
To evaluate the efficacy of a new surgical technique in reducing inferior oblique muscle overaction.
Anterior transposition and myectomy of the inferior oblique muscle represent the gold-standard treatment in dissociated vertical deviation, including cases in which a simultaneous inferior oblique muscle overaction is also present. A new surgical procedure that consists of suturing the muscle to the sclera at the Gobin point with tendon sparing using a micro-incision to minimize the related tissue trauma and induce a faster recovery was developed.
Two of 8 patients with essential infant esotropia had a complete resolution of the elevation in adduction with no residual vertical imbalance. All patients experienced an improvement in lateral incomitance.
The new "equatorial scleral anchor" surgical procedure gives a similarly good outcome when compared with the classic inferior oblique anterior transposition technique, with the advantages being simple, safe, reversible, and modular in terms of suturing.
评估一种新的手术技术在减少下斜肌亢进方面的疗效。
下斜肌前转位和切除术是治疗分离性垂直偏斜的金标准治疗方法，包括同时存在下斜肌亢进的病例。开发了一种新的手术方法，即通过微切口在戈宾点将肌肉缝合至巩膜，保留肌腱，以尽量减少相关组织创伤并促进更快恢复。
8例特发性婴儿内斜视患者中有2例内收时上转完全消失，无残余垂直不平衡。所有患者的外转不一致情况均有改善。
与经典的下斜肌前转位技术相比，新的“赤道巩膜固定”手术方法效果同样良好，在缝合方面具有简单、安全、可逆和模块化的优点。
