双侧增强型上直肌转位联合内直肌后退术治疗双侧内斜视型 Duane 退缩综合征。

Bilateral augmented superior rectus transposition with medial rectus recession for bilateral esotropic Duane retraction syndrome.

机构信息

Child Sight Institute, Nimmagada Prasad Children's Eye Care Centre, Department of Pediatric Ophthalmology, Strabismus, and Neuro-ophthalmology, L V Prasad Eye Institute, GMRV Campus, Visakhapatnam, Andhra Pradesh, India.

Academy of Eye Care Education, Department of Pediatric Ophthalmology, Strabismus, and Neuro-ophthalmology, Child Sight Institute and Jasti V. Ramanamma Children's Eye Care Centre, L V Prasad Eye Institute, KAR Campus, Hyderabad, Telangana, India.

出版信息

J AAPOS. 2021 Apr;25(2):116-119. doi: 10.1016/j.jaapos.2020.11.006. Epub 2021 Feb 16.

DOI:10.1016/j.jaapos.2020.11.006

PMID:33601043

Abstract

Superior rectus transposition with medial rectus recession is commonly performed for unilateral esotropic Duane syndrome. For bilateral esotropic Duane syndrome, bilateral medial rectus recession is the most frequently performed surgery and usually provides satisfactory alignment in primary position; however, there is limited improvement in abduction. We report the outcomes of bilateral augmented superior rectus transposition and medial rectus recession in 4 patients with bilateral esotropic Duane syndrome. Postoperatively, abduction was improved in all patients; 3 were orthotropic in the primary position, and 1 had residual esotropia.

摘要

对于单侧外斜视型 Duane 综合征，通常采用上直肌转位联合内直肌后退术。对于双侧外斜视型 Duane 综合征，双侧内直肌后退术是最常施行的手术，通常能在第一眼位获得满意的正位；但外展功能的改善有限。我们报告了 4 例双侧外斜视型 Duane 综合征患者行双侧增强上直肌转位联合内直肌后退术的疗效。术后所有患者的外展功能均得到改善；3 例第一眼位正位，1 例残留外斜视。