Su Yun, Shen Qin, Fan Xianqun
Department of Ophthalmology, Shanghai Ninth People's Hospital, Shanghai Jiao Tong University, School of Medicine, Shanghai 200011, China.
J Ophthalmol. 2016;2016:8657036. doi: 10.1155/2016/8657036. Epub 2016 Apr 27.
Strabismus associated with high myopia is a rare abnormality of ocular motility, leading to the impairment of abduction and supraduction. Loop myopexy of the superior rectus (SR) and lateral rectus (LR) muscles is now the most preferred surgery for restoring the dislocated eye globe back into the muscle cone. Various procedural modifications have been made based on this concept, and satisfactory outcomes have been reached in most cases. In this paper, we review various surgical modifications published in the literature that are based on the loop myopexy surgery in patients with high myopic strabismus and summarize the applicable scope of different surgical procedures for patients with different degrees of strabismus. Three major surgical procedures are identified and different modifications have been applied based on their concept. Most of these modifications have been proven to be safe and effective and result in good ocular alignments. The selection of such modifications is of great importance in different patients. Careful evaluation before surgery should be made not only to make the correct diagnosis but also to choose an appropriate surgical procedure and offer individualized modifications in the surgery.
高度近视性斜视是一种罕见的眼球运动异常，会导致外展和上转功能受损。目前，上直肌（SR）和外直肌（LR）的套扎术是将脱位眼球恢复到肌锥内最常用的手术方法。基于这一理念，人们进行了各种手术改良，大多数情况下都取得了满意的效果。在本文中，我们回顾了文献中发表的基于高度近视性斜视患者套扎术的各种手术改良方法，并总结了不同程度斜视患者不同手术方法的适用范围。确定了三种主要手术方法，并根据其理念进行了不同的改良。这些改良方法大多已被证明是安全有效的，能使眼球保持良好的正位。在不同患者中选择合适的改良方法非常重要。术前应进行仔细评估，不仅要做出正确诊断，还要选择合适的手术方法，并在手术中进行个体化改良。
