Raab E L
Ophthalmology. 1979 Aug;86(8):1441-50. doi: 10.1016/s0161-6420(79)35377-5.
Eight patients with large-angle exotropia and unimprovable poor vision in one eye were treated with conventional maximum horizontal rectus recession/resection plus weakening of both obliques of the poorly seeing eye. This appears to be a useful alternative to "supermaximal" recession/resection procedures, which are more likely to lead to deficient or restricted rotations. The effect is probably due to the release of additional sites of contracture that occur in the oblique muscles. The principal disadvantage is a small postsurgical hypertropia of the operated eye, for which routine infraplacement of both horizontal recti can compensate adequately.
八名患有大角度外斜视且单眼视力差无法改善的患者接受了常规的最大程度水平直肌后徙/切除术，同时对视力较差眼睛的两条斜肌进行减弱术。这似乎是“超最大程度”后徙/切除手术的一种有用替代方法，后者更有可能导致眼球转动不足或受限。这种效果可能是由于斜肌中出现的额外挛缩部位得到了解除。主要缺点是手术眼术后会出现轻度上斜视，对此可通过常规的水平直肌下徙术进行充分补偿。
