Buckley E G, Meekins B B
Duke University Eye Center, Durham, North Carolina 27710.
Am J Ophthalmol. 1988 Mar 15;105(3):304-12. doi: 10.1016/0002-9394(88)90015-3.
We reviewed retrospectively the records of 17 patients with incomitant vertical diplopia secondary to an underacting inferior rectus muscle who had been treated by surgically weakening the contralateral inferior rectus muscle with a posterior fixation suture (fadenoperation). This was the sole procedure in four patients with blowout fractures and in two patients with restriction secondary to scleral buckling procedures. It was combined with horizontal or vertical muscle surgery in 11 patients. The procedure was particularly useful in preventing diplopia on downgaze after excessive weakening of a tight inferior rectus muscle in seven patients with thyroid ophthalmopathy. In three patients it was used in anticipation of an iatrogenic incomitancy in downgaze secondary to a large recession of a tight inferior rectus muscle. All patients were markedly improved after surgery and no complications were encountered.
我们回顾性分析了17例因下直肌功能不足导致非共同性垂直复视患者的病历，这些患者均接受了通过后固定缝线术（Faden手术）削弱对侧下直肌的手术治疗。对于4例爆裂性骨折患者和2例因巩膜扣带术导致眼球运动受限的患者，该手术是唯一的治疗方法。在11例患者中，该手术与水平或垂直肌肉手术联合使用。该手术对于预防7例甲状腺眼病患者在强力下直肌过度削弱后下视时出现复视特别有用。在3例患者中，该手术用于预防因强力下直肌大量后徙继发的下视医源性非共同性。所有患者术后均有明显改善，且未出现并发症。
