Quere M A, Pechereau A, Clergeau G
J Fr Ophtalmol. 1978 Mar;1(3):221-8.
In two previous papers published in this journal, mechanic phenomena induced by the surgical procedures and the surgical management of fundamental troubles in esotropias were analyzed fully into details. In this third part, the authors explain the various pratical conclusions which result from their study. They underline that more than 60-70% convergent squints in children have a apastic component, and to overcome it classical procedures alone (resections and recessions) are fully unfitted. Equally, the Fadenoperation cannot by itself make away with motor disorders. Generally, the various technics must be associated to get cure. But to draw up an adequate surgical plan it is necessary to take into account the anaesthetic sign and the muscular traction test. The Authors have settled a pratical surgical scale allowing to know immediatly according to clinical and electro-oculographic findings, and the results to those tests, the particular operating actions which are convenient to do in each case and also their amount.
在发表于本杂志的前两篇论文中，已对手术操作引发的力学现象以及内斜视基本问题的手术处理进行了全面详尽的分析。在这第三部分中，作者阐述了他们的研究得出的各种实际结论。他们强调，超过60%至70%的儿童共同性斜视具有非麻痹性成分，仅靠经典手术（后徙术和缩短术）完全无法克服这一成分。同样，Faden手术本身也无法消除运动障碍。一般来说，必须联合运用各种技术才能治愈。但要制定出合适的手术方案，就有必要考虑麻醉体征和肌肉牵引试验。作者制定了一个实用的手术量表，据此可以根据临床和眼电图检查结果以及这些检查的结果，立即知晓在每种情况下适合进行的具体手术操作及其程度。
