Department of Ophthalmology, The First Affiliated Hospital of Guangxi Medical University, Nanning, China.
Indian J Ophthalmol. 2023 Feb;71(2):618-624. doi: 10.4103/ijo.IJO_1858_22.
To explore the clinical effect of horizontal rectus transposition combining recess and resect treatment on monocular elevation deficiency (MED) with horizontal strabismus.
Ten patients (10 eyes) scheduled to undergo horizontal rectus transposition combining recess-resect surgery to treat MED with horizontal strabismus in the ME Department of Ophthalmology of the First Affiliated Hospital of Guangxi Medical University between July 2016 and February 2022 were included in the study. The degree of vertical and horizontal prism strabismus, the grading of upper movement of the paralyzed eye, and the improvement of binocular vision were evaluated before and after the surgery.
Horizontal rectus transposition combined with recess and resect treatment was used to treat 10 patients with MED combined with horizontal strabismus. A good curative effect was seen in eight patients. The differences in the degree of vertical strabismus, the degree of horizontal strabismus, and the movement function of the paretic eyes before and after surgery were significantly different (all P < 0.05). The binocular haplopia function in six patients was reconstructed in the primary position after surgery.
Horizontal rectus transposition combining recess-resect is easy to perform, and the number of recti involved in the surgery is small. This approach can effectively correct the eye position, improve eye movement, and reconstruct binocular vision in patients with MED by combining horizontal strabismus.
探讨水平直肌移位联合内收和截除术治疗伴有水平斜视的单眼上直肌功能不足（MED）的临床效果。
2016 年 7 月至 2022 年 2 月，广西医科大学第一附属医院眼科 ME 科拟行水平直肌移位联合内收-截除术治疗 MED 合并水平斜视的 10 例（10 眼）患者纳入本研究。评估术前和术后垂直和水平棱镜斜视的程度、麻痹眼上运动分级以及双眼视功能的改善情况。
采用水平直肌移位联合内收-截除术治疗 10 例 MED 合并水平斜视患者，8 例疗效良好。手术前后垂直斜视度、水平斜视度和麻痹眼运动功能的差异均有统计学意义（均 P<0.05）。术后 6 例患者在第一眼位重建了双眼单视功能。
水平直肌移位联合内收-截除术操作简单，手术涉及的直肌数量少。该方法可有效矫正眼位，改善眼运动，重建伴有水平斜视的 MED 患者的双眼视觉。
