Stein Eye Institute, University of California Los Angeles , Los Angeles, California.
Department of Ophthalmology, University of California Los Angeles , Los Angeles, California.
J Binocul Vis Ocul Motil. 2020 Jul-Sep;70(3):71-78. doi: 10.1080/2576117X.2020.1760683. Epub 2020 May 28.
Recent reports confirm innervational compartments of select rectus extraocular muscles as well as the superior oblique. Histopathological and orbital imaging studies demonstrate well defined compartmental innervation of the horizontal rectus muscles with less differentiation in the vertical rectus muscles. Acquired vertical misalignment not associated with cyclovertical muscle dysfunction has been associated with horizontal rectus muscle compartment dysfunction. Pattern and other forms of strabismus have been associated with segmental or compartmental abnormal innervation of the extraocular muscles. Taking advantage of segmental function and innervation, selective weakening and strengthening procedures have been used to treat patients with incomitant near/distance disparities, incomitant vertical and torsional strabismus, and patients with A- and V-pattern strabismus.
最近的报告证实了选择性直肌和上斜肌的神经支配隔室。组织病理学和眼眶影像学研究表明,水平直肌的神经支配具有明确的隔室性,而垂直直肌的分化程度较低。与垂直直肌功能障碍无关的获得性垂直斜视与水平直肌隔室功能障碍有关。斜视的类型和其他形式与眼外肌的节段或隔室异常神经支配有关。利用节段功能和神经支配,选择性减弱和加强程序已被用于治疗伴有不协调的近/远距离差异、不协调的垂直和扭转斜视以及 A 型和 V 型斜视的患者。