de Decker W, Baenge J J
Abteilung Orthoptik und Pleoptik, Universitäts-Augenklinik, Kiel, Federal Republic of Germany.
Graefes Arch Clin Exp Ophthalmol. 1988;226(2):161-4. doi: 10.1007/BF02173308.
Twenty-six patients with small-angle constant or intermittent exotropia of up to 7 degrees, and eight patients with small-angle exophoria of the convergence-insufficiency type, underwent unilateral medial rectus resection. Of the 34 patients, 9 were cured, 19 improved and in 6 surgery failed or there was early recurrence. Improvement occurred usually in patients who had basic microexotropia and in some who had homonymous abnormal retinal correspondence, a factor which limited the sensory results. The sensory, motor, and mechanical factors influencing the procedure are discussed in detail. The resection technique employed is reviewed, demonstrating the advantage of well-controlled results. This paper shows that resecting the medial recti is useful, not only in convergence insufficiency, but also in related small-angle exodeviations, for which a classification is proposed.
26例小角度恒定或间歇性外斜视（斜视度达7度）患者以及8例集合不足型小角度外隐斜患者接受了单侧内直肌切除术。在这34例患者中，9例治愈，19例好转，6例手术失败或早期复发。好转通常发生在患有基本微小外斜视的患者以及一些存在同侧异常视网膜对应关系的患者中，这一因素限制了感觉功能的恢复结果。详细讨论了影响该手术的感觉、运动和机械因素。回顾了所采用的切除术技术，展示了良好控制效果的优势。本文表明，切除内直肌不仅对集合不足有用，而且对相关的小角度外斜视也有用，并为此提出了一种分类方法。
