Taylor J N
Ocular Motility Clinic, Royal Victorian Eye and Ear Hospital, Melbourne, Australia.
Aust N Z J Ophthalmol. 1989 Feb;17(1):27-31.
An operation for complete third nerve paralysis involving lateral rectus muscle transplantation to the medial side of the globe as a basic procedure is described. An inferior rectus muscle recession plus resection of an apparent completely paralysed medial rectus was subsequently performed at a second stage operation. The results appeared to be an improvement on previous surgery, particularly in terms of ocular motility, with almost full adduction of the operated eye being achieved. This adduction movement occurred as part of a normal conjugate movement of the two eyes, and the question arises as to the responsible muscles, with some evidence to suggest that relearned action of the transplanted lateral rectus muscle may be implicated. Finally, a Fasanella-Servat procedure as a third stage operation appeared to be adequate to correct the ptosis.
描述了一种针对完全性动眼神经麻痹的手术，该手术以将外直肌移植至眼球内侧作为基本操作。在第二阶段手术中，随后进行了下直肌后徙术并切除了明显完全麻痹的内直肌。结果似乎比之前的手术有所改善，特别是在眼球运动方面，手术眼几乎实现了完全内收。这种内收运动是双眼正常共轭运动的一部分，由此产生了关于负责肌肉的问题，有证据表明移植的外直肌重新学习的动作可能与之有关。最后，作为第三阶段手术的Fasanella-Servat手术似乎足以矫正上睑下垂。
