Duke Eye Center, Duke University, Durham, North Carolina.
Doheny Eye Institute, UCLA, Los Angeles, California.
J Binocul Vis Ocul Motil. 2021 Oct-Dec;71(4):132-137.
Persistent ocular motility and sensorial abnormalities following retinal detachment surgery are not common. Scleral buckling increases the risk of deviation in secondary gaze positions most commonly horizontal deviations. Suspect superior oblique incarceration in patients with limited downgaze. For patients with persistent strabismus, surgery is an option. Removing the exoplant may be necessary to access the extraocular muscles but the effect on alignment is minimal except in cases were the scleral buckle migrates anteriorly causing restriction. Removing the scleral buckle may increase the risk of retinal re-detachment. Hangback recessions and adjustable sutures can be safely used.
视网膜脱离手术后持续的眼球运动和感觉异常并不常见。巩膜扣带术会增加二次注视位置（最常见的是水平偏差）偏斜的风险。怀疑上斜肌嵌顿的患者有眼球下转受限。对于持续斜视的患者，手术是一种选择。去除外植体可能有必要接触眼外肌，但除了巩膜扣带向前迁移导致限制的情况外，对矫正的影响很小。去除巩膜扣带可能会增加视网膜再脱离的风险。后退缝线和可调节缝线可以安全使用。
