Souza-Dias C, Uesugui C F
J Pediatr Ophthalmol Strabismus. 1986 Mar-Apr;23(2):82-6. doi: 10.3928/0191-3913-19860301-09.
The authors present the results of 118 operations in which five different techniques for superior oblique weakening were employed for the correction of "A" pattern: recession of the tendon, split-lengthening, posterior fiber tenectomy near the scleral insertion, full tenectomy near the scleral insertion and marginal tenotomy (Z lengthening). In all the techniques but one, the marginal tenotomy, a high percentage of correction and a good coefficient of correlation between initial incomitance and obtained correction were found. We propose a new technique of superior oblique weakening, the full tenectomy of the tendon near the scleral insertion, and an easy, safe and effective technique.
作者介绍了118例手术的结果，其中采用了五种不同的上斜肌减弱技术来矫正“A”型斜视：肌腱后徙、劈开延长、巩膜附着处附近的后纤维腱膜切除术、巩膜附着处附近的完全腱膜切除术以及边缘腱膜切开术（Z形延长）。除边缘腱膜切开术外，在所有其他技术中，均发现了较高的矫正率以及初始斜视度与获得的矫正效果之间良好的相关性。我们提出了一种新的上斜肌减弱技术，即巩膜附着处附近肌腱的完全腱膜切除术，这是一种简便、安全且有效的技术。
