Gräf Michael
Klinik und Poliklinik für Augenheilkunde, Universitätsklinikum Gießen und Marburg GmbH, Standort Gießen, Friedrichstr. 18, 35392, Gießen, Deutschland.
Ophthalmologe. 2021 Nov;118(11):1113-1118. doi: 10.1007/s00347-021-01339-y. Epub 2021 Mar 1.
To demonstrate the technique and effectiveness of the bridle operation for oculomotor nerve paralysis with maintained elevation.
The bridle operation includes transposition of the lateral rectus muscle (passing behind inferior oblique and rectus muscles) and the superior rectus muscle (behind superior oblique tendon and medial rectus muscle) to the nasal inferior surface of the globe.
In the reported case, this procedure corrected exo-hypertropia of 30-40°/20-30° without inducing cyclotropia.
The bridle operation expands the surgical arsenal for paralytic strabismus.
展示用于动眼神经麻痹且保留上抬功能的系带手术的技术及有效性。
系带手术包括将外直肌(经下斜肌和直肌后方)和上直肌(经上斜肌腱和内直肌后方)转位至眼球鼻下表面。
在所报道的病例中,该手术矫正了30 - 40°/20 - 30°的外上斜视,且未诱发旋转斜视。
系带手术扩展了麻痹性斜视的手术方法。