Ruttum M S, Harris G J
Eye Institute, Medical College of Wisconsin, Milwaukee 53226.
Graefes Arch Clin Exp Ophthalmol. 1988;226(2):145-7. doi: 10.1007/BF02173303.
In patients operated on for superior oblique myokymia with superior oblique tenotomy or tenectomy, symptoms of oscillopsia recur in approximately one-half. Failure of treatment may be caused by incomplete transection of the tendon or by residual attachments and postoperative adhesions between the proximal segment of superior oblique tendon and the globe which allow superior oblique muscle contractions to be partially transmitted to the globe. We report a patient with recurrent symptoms of superior oblique myokymia following superior oblique tenectomy who was successfully managed with superior oblique myectomy and trochlectomy via an anterior orbital approach.
在接受上斜肌断腱术或切除术治疗上斜肌肌阵挛的患者中，约一半会再次出现视振荡症状。治疗失败可能是由于肌腱切断不完全，或上斜肌腱近端与眼球之间存在残余附着及术后粘连，使得上斜肌收缩部分传递至眼球。我们报告1例上斜肌切除术后出现上斜肌肌阵挛复发症状的患者，通过眶前部入路行上斜肌肌切除术及滑车切除术成功治愈。
