McPhee T J, Dyer J A, Ilstrup D M
Department of Ophthalmology, Mayo Clinic, Rochester, MN 55905.
Graefes Arch Clin Exp Ophthalmol. 1988;226(2):197-200. doi: 10.1007/BF02173318.
Between 1964 and 1982, 89 marginal myotomies were performed, 70 on the medial rectus with lateral rectus resection as a combined secondary procedure for esotropia. Successful realignment was attained in 51% of the cases (for both distance and near measurements); undercorrection occurred in 34% (either distance or near), and overcorrection in 14% (either distance or near). Further operation was required in 17%, of which 4% were for overcorrection. Initial postoperative alignment was maintained at subsequent follow-up. The degree of change in deviation did not correlate with the degree of resection of the lateral rectus or the degree of medial rectus myotomy. Marginal myotomy of the medial rectus with lateral rectus resection is a useful procedure that should be part of the repertoire of all strabismus surgeons.
1964年至1982年间，共进行了89例边缘性肌切开术，其中70例在内直肌上进行，并联合外直肌切除术作为内斜视的二期手术。51%的病例实现了成功的眼位矫正（包括远距离和近距离测量）；34%出现欠矫（远距离或近距离），14%出现过矫（远距离或近距离）。17%的患者需要进一步手术，其中4%是因过矫。术后初期眼位矫正情况在后续随访中得以维持。斜视度的变化程度与外直肌切除量或内直肌肌切开程度无关。内直肌边缘性肌切开联合外直肌切除术是一种有用的手术方法，应成为所有斜视外科医生的手术方法之一。
