先天性内斜视的双眼内直肌大量后徙术
Large bimedial rectus recessions in congenital esotropia.
作者信息
Szmyd S M, Nelson L B, Calhoun J H, Spratt C
出版信息
Br J Ophthalmol. 1985 Apr;69(4):271-4. doi: 10.1136/bjo.69.4.271.
Abstract
The success rate of large (6 and 7 mm) bimedial rectus recessions in 45 congenital esotropes with deviations of 50 prism dioptres or greater was found to be 91%. Judgment of final alignment was made six weeks postoperatively, with an average follow-up of 13 months. Large bimedial rectus recessions are an effective surgical treatment for congenital esotropia. This procedure does not significantly alter adduction, and leaves other muscles available should further surgery be necessary. These findings show that initial surgery on three or more muscles is unnecessary in congenital esotropia.
摘要
在45例斜视度数为50棱镜度及以上的先天性内斜视患者中，对其进行大尺寸（6和7毫米）双侧直肌后徙术，结果发现成功率为91%。术后六周进行最终眼位矫正判断，平均随访13个月。大尺寸双侧直肌后徙术是治疗先天性内斜视的一种有效手术方法。该手术不会显著改变内收功能，并且在需要进一步手术时，其他眼肌仍可使用。这些研究结果表明，先天性内斜视患者初次手术时无需对三条或更多眼肌进行手术。
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