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[内斜视的定量手术]

[Quantified surgery of esotropia].

作者信息

Remy C

出版信息

J Fr Ophtalmol. 1987;10(8-9):497-9.

PMID:3429779
Abstract

The effects of surgery on the minimal angle were studied on sixty children, strabismic in visual isoacuity, equipped with their optical correction, with a follow up of six months. The surgical procedures, medial rectus recession and lateral rectus flecting, were carried out under an operating microscope. No Faden Operation was carried out. A constant K is defined for each operation as the quotient of the angular reduction dA0 by the sum in millimeters of the movement on the medial rectus DI and the lateral rectus DE divided by two, or K = dA0/(DI + DE/2). The clinical, statistical and surgical incertitudes are analysed. The concomitant surgery, eye by eye, thus demonstrated, allows a better modulation of the surgical gesture as the action on the lateral rectus tempers that of the medial rectus.

摘要

对60名视力等视锐度斜视且已进行视力矫正的儿童进行了手术对最小角度影响的研究,随访6个月。手术操作,即内直肌后徙和外直肌折叠,在手术显微镜下进行。未进行Faden手术。每次手术定义一个常数K,即角度减少量dA0除以内直肌移动量DI和外直肌移动量DE以毫米为单位的总和除以2的商,即K = dA0/(DI + DE/2)。分析了临床、统计学和手术的不确定性。逐眼进行的联合手术表明,由于对外直肌的操作可缓和对内直肌的操作,因此能更好地调节手术动作。

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