Burns C L, Seigel L A
Suncoast Eye Center, Hudson, FL.
Ophthalmology. 1988 Aug;95(8):1120-4. doi: 10.1016/s0161-6420(88)33050-2.
Four patients with de novo onset of persistent vertical tropia ranging from 4 to 11 prism diopters (PD) after cataract surgery underwent inferior rectus recession. Deviations were stable and fuseable with prism preoperatively for 4 to 6 months. Three patients regained single binocular vision in all fields of gaze. Macular change developed in one eye of a diabetic patient, precluding adequate postoperative assessment. Mechanical and sensory factors, detailed assessment of pertinent preoperative findings, and intraoperative management are discussed. Previous literature is reviewed.
4例白内障手术后新发持续性垂直斜视、斜视度为4至11棱镜度（PD）的患者接受了下直肌后徙术。术前斜视度稳定，且可通过棱镜融合4至6个月。3例患者在所有注视视野中恢复了双眼单视。1例糖尿病患者的一只眼出现黄斑病变，无法进行充分的术后评估。本文讨论了机械和感觉因素、术前相关检查结果的详细评估以及术中处理，并对既往文献进行了综述。
