Department of Ophthalmology, Antwerp University Hospital, Edegem, Belgium.
University of Antwerp, Wilrijk, Belgium.
J Binocul Vis Ocul Motil. 2021 Jul-Sep;71(3):83-89. doi: 10.1080/2576117X.2021.1929788. Epub 2021 Jun 7.
: To evaluate the effect of augmented inferior oblique recession (recession +5 mm loop) on the vertical deviation in primary position (PP) and the inferior oblique overaction (IOOA) in patients with unilateral congenital or acquired superior oblique palsy.: The medical records of patients who underwent unilateral inferior oblique recession with 5 mm loop during 2012 and 2019 were retrospectively reviewed. All patients had small to moderate manifest or intermittent hypertropia in PP and overaction of the inferior oblique muscle of +2 or +3 in lateral gaze. Patients who had combined inferior rectus surgery of the contralateral eye or who had previous vertical muscle surgery were excluded.: A total of 26 patients were included. Of these, three patients had combined horizontal muscle surgery. In 22 patients, the superior oblique palsy was congenital or longstanding, in 4 it was acquired and stable for more than 9 months. The mean preoperative vertical deviation in PP at distance and near was 14.7Δ and 11.2Δ, respectively. The mean postoperative vertical deviation was 5.7Δ and 4.1Δ after a mean follow-up of 19 months. The IOOA improved in all patients, 16 patients had an improvement of +2 and 10 patients had an improvement of +1.: Inferior oblique recession with a 5 mm loop is a simple and quick technique to correct small to moderate hypertropia in primary position and inferior oblique overaction in contralateral gaze in patients with congenital, longstanding or acquired superior oblique palsy without risk of overcorrection.
评估增强型下斜肌后徙（后徙+5mm 袢）对先天性或后天性单侧上斜肌麻痹患者初诊眼位（PP）垂直偏斜和下斜肌过强（IOOA）的影响：回顾性分析了 2012 年至 2019 年间接受单侧下斜肌后徙+5mm 袢的患者的病历。所有患者均有小至中度的 PP 显性或间歇性上斜视和外转时下斜肌过强+2 或+3。排除了对侧眼同时行下直肌手术或既往行垂直肌手术的患者。：共纳入 26 例患者，其中 3 例合并水平肌手术。22 例患者的上斜肌麻痹为先天性或慢性，4 例为后天性且稳定超过 9 个月。术前远距和近距 PP 的平均垂直偏斜分别为 14.7Δ和 11.2Δ。平均随访 19 个月后，平均术后垂直偏斜分别为 5.7Δ和 4.1Δ。所有患者的 IOOA 均改善，16 例患者改善+2，10 例患者改善+1。：下斜肌后徙+5mm 袢是一种简单快捷的技术，可矫正先天性、慢性或后天性上斜肌麻痹患者的小至中度 PP 显性斜视和对侧注视时下斜肌过强，且无过矫风险。
