下斜肌切除术致眼内肌麻痹：三例报告

Internal ophthalmoplegia following inferior oblique myectomy: a report of three cases.

作者信息

Bajart A M, Robb R M

出版信息

Ophthalmology. 1979 Aug;86(8):1401-6. doi: 10.1016/s0161-6420(79)35380-5.

Abstract

Three patients are reported in whom paralysis of accommodation and mydriasis (internal ophthalmoplegia) developed following inferior oblique myectomy. In all three patients, accommodation eventually returned to normal; in two, mild anisocoria persisted; in one patient, pupillotonia was noted after 2 1/2 years. The mechanism of this previously unreported surgical complication is thought to be excessive stretching of the nerve to the inferior oblique muscle with secondary trauma to the ciliary ganglion.

摘要

本文报告了3例患者，他们在下斜肌切除术之后出现了调节麻痹和瞳孔散大（眼内肌麻痹）。所有3例患者的调节功能最终均恢复正常；2例患者仍存在轻度瞳孔不等大；1例患者在2年半后出现了瞳孔紧张症。这种此前未报告过的手术并发症的机制被认为是下斜肌神经受到过度牵拉，继而导致睫状神经节损伤。