Fleming A W
Ann Ophthalmol. 1977 Dec;9(12):1515-7.
The most common type of overactive inferior oblique muscle is secondary to a delay in the development of superior oblique muscle function. Operative intervention is not indicated because as a child matures the overactivity of the inferior oblique muscle will gradually disappear. In those cases where surgery is performed, the desired effect of elimination of excess elevation is achieved indirectly. The theory that the inferior oblique muscle is not primarily an elevator is supported by this explanation involving an indirect surgical effect. An explanation of a common postoperative finding after unilateral recession of an inferior oblique muscle is presented.
最常见的下斜肌亢进类型继发于上斜肌功能发育延迟。由于随着儿童成长，下斜肌亢进会逐渐消失，因此不建议进行手术干预。在进行手术的病例中，消除过度上抬的预期效果是间接实现的。这种涉及间接手术效果的解释支持了下斜肌并非主要上抬肌的理论。本文还介绍了下斜肌单侧后徙术后常见结果的一种解释。
