Apt L, Call N B
Am J Ophthalmol. 1978 Jan;85(1):95-100. doi: 10.1016/s0002-9394(14)76672-3.
Surgical recession of the inferior oblique muscle is simpler to perform if the inferior rectus muscle, rather than either the lateral rectus muscle or the inferior oblique muscle insertion, is used as a landmark. We measured 200 consecutive autopsy eyes to determine the distance from the commonly used 8-mm recession site determined by the Fink technique to the lateral border of the inferior rectus muscle insertion. It was easier to reach this point by measuring 4.0 mm posterior and 4.4 mm superior to the lateral insertion of the inferior rectus muscle, or 2.9 mm superior (on a line parallel to the corneoscleral limbus) and 5.1 mm posterior (on the line perpendicular to the corneoscleral limbus) to the lateral insertion of the inferior rectus muscle. We made anatomical studies to grade the amount of inferior oblique muscle recession and to evaluate the proper placement of the posterior border of the recessed inferior oblique muscle.
如果将下直肌而非外直肌或下斜肌附着点用作标志，下斜肌手术性后徙会更易于操作。我们测量了连续200只尸眼，以确定由芬克技术确定的常用8毫米后徙位点至下直肌附着点外侧缘的距离。通过测量在下直肌外侧附着点后方4.0毫米和上方4.4毫米处，或在下直肌外侧附着点上方2.9毫米（在平行于角巩膜缘的线上）和后方5.1毫米（在垂直于角巩膜缘的线上）处，更容易到达该点。我们进行了解剖学研究，以对下斜肌后徙量进行分级，并评估后徙的下斜肌后缘的正确位置。
