Beckman Vision Center, Program in Neuroscience, University of California, San Francisco, San Francisco, California.
J Neuroophthalmol. 2019 Sep;39(3):345-347. doi: 10.1097/WNO.0000000000000718.
We describe successful surgical treatment of superior oblique myokymia, which had recurred after superior oblique tenectomy.
Single case report.
The distal stump of the superior oblique tendon was extirpated by stripping it from the globe. The ipsilateral superior rectus muscle also was recessed, to correct a hypertropia that had resulted from the original superior oblique tenectomy.
Complete removal of the distal superior oblique muscle tendon provided definitive relief of superior oblique myokymia. Superior rectus muscle recession, combined with previous inferior oblique myectomy, compensated effectively for loss of superior oblique function.
我们描述了一例成功的手术治疗，患者为上斜肌肌纤维颤动，该疾病在上斜肌肌腱切断术后复发。
单病例报告。
通过从眼球上剥离，切除了上斜肌腱的远端残端。还对同侧的上直肌进行了后退，以矫正由于最初的上斜肌肌腱切断术导致的斜视。
完全切除上斜肌远端肌腱可彻底缓解上斜肌肌纤维颤动。上直肌后退术与先前的下斜肌切除术相结合，有效地补偿了上斜肌功能的丧失。
