Avetisov S E, Danilov S S, Shaltynov A S
Research Institute of Eye Diseases, 11A Rossolimo St., Moscow, Russian Federation, 119021; I.M. Sechenov First Moscow State Medical University, Department of Ophthalmology, 8-2 Trubetskaya St., Moscow, Russian Federation, 119991.
Research Institute of Eye Diseases, 11A Rossolimo St., Moscow, Russian Federation, 119021.
Vestn Oftalmol. 2019;135(3):99-103. doi: 10.17116/oftalma201913503199.
The review summarizes the results of studies related to ischemia of the anterior segment of the eye after surgeries on straight extraocular muscles for strabismus and presents classification, clinical manifestations and risk factors for the development of the syndrome. The principal prevention measures for the clinically significant syndrome are focused on limiting the extent of surgical intervention: in the presence of risk factors and the need for intervention on more than two muscles - staged surgical treatment (i.e. ensuring a time interval between surgeries) that allows collateral circulation to form properly.
该综述总结了斜视矫正手术中眼外直肌手术后眼前节缺血相关研究的结果,并介绍了该综合征的分类、临床表现及危险因素。对于具有临床意义的该综合征,主要预防措施集中在限制手术干预范围:存在危险因素且需要对两条以上肌肉进行干预时,采用分期手术治疗(即在手术之间确保有时间间隔),以便侧支循环能正常形成。