Gurland Jake, Vagge Aldo, Nelson Leonard B
J Pediatr Ophthalmol Strabismus. 2018 Sep 20;55(5):288-292. doi: 10.3928/01913913-20180327-03. Epub 2018 Jun 19.
Proper management of a patient with small to moderate horizontal deviations continues to be challenging for the strabismus surgeon. The use of one-muscle surgery for comitant strabismus has been controversial because of concerns that it may result in a significant number of undercorrections and/or ocular incomitance. Recent literature on unilateral rectus muscle surgery has shown that this surgery is a safe and effective procedure for small and moderate angle horizontal deviations. It has the advantage of limiting surgery to one eye, reducing operative time and possible cost to the family, and leaving other muscles untouched in case repeat surgery is necessary. Larger studies need to be done in the future; however, this surgery should be considered as a primary approach in the treatment of small to moderate angle esotropia. [J Pediatr Ophthalmol Strabismus. 2018;55(5):288-292.].
对于斜视外科医生而言，妥善管理患有轻度至中度水平斜视的患者仍然具有挑战性。由于担心单肌肉手术可能导致大量矫正不足和/或眼球运动不协调，因此其用于共同性斜视一直存在争议。最近关于单侧直肌手术的文献表明，该手术对于轻度和中度水平斜视是一种安全有效的方法。它具有将手术局限于一只眼睛的优点，可减少手术时间并可能降低家庭费用，并且在需要再次手术时不会触动其他肌肉。未来需要进行更大规模的研究；然而，这种手术应被视为治疗轻度至中度内斜视的主要方法。[《小儿眼科与斜视杂志》。2018年；55(5):288 - 292。]
