Reese P D, Scott W E
J Pediatr Ophthalmol Strabismus. 1987 Jan-Feb;24(1):4-9. doi: 10.3928/0191-3913-19870101-03.
Both tenotomy and tenectomy of the homolateral superior oblique muscle have been advocated as surgical treatment for isolated paresis of the inferior oblique muscle. An iatrogenic superior oblique palsy has been reported to be a frequent complication of superior oblique tenectomy. This complication appears to be less frequent following superior oblique tenotomy. Of 16 consecutive patients with isolated inferior oblique paresis treated by homolateral superior oblique tenotomy and followed an average of 5.0 years (range six months to 11.6 years), only two patients demonstrated a superior oblique palsy postoperatively. Large vertical deviations with spread of comitance, however, required a superior rectus recession of the fellow eye in addition to superior oblique tenotomy.
同侧上斜肌断腱术和切除术均被推荐作为下斜肌孤立性麻痹的手术治疗方法。据报道，医源性上斜肌麻痹是上斜肌切除术常见的并发症。上斜肌断腱术后这种并发症似乎较少见。在16例接受同侧上斜肌断腱术治疗的下斜肌孤立性麻痹患者中，平均随访5.0年（范围6个月至11.6年），只有2例患者术后出现上斜肌麻痹。然而，伴有大度数垂直斜视且斜视度有散开的情况，除了上斜肌断腱术外，还需要对健侧眼的上直肌进行后徙术。
