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经巩膜边缘切开术行腱膜成形术(作者译)

[Tenoplasty by marginal scleral division (author's transl)].

作者信息

Bordeianu C D

出版信息

J Fr Ophtalmol. 1980;3(11):671-4.

PMID:7204879
Abstract

The author proposes a new technique consisting of lengthening the tendon of the hyperactive muscle by means of two small superficial scleral longues positioned at two extremities of the insertion, each being 1.5 to 2 mm in width and having a length that varies according th the degree of deviation to be corrected. The tendon is cut level with the sclera, between the two scleral tongues. Results in 27 cases were favorable (residual deviation of less than 10 degrees) in 70 p. cent of cases after one tenoplasty operation and 85 p. cent after a repeat tenoplasty. The length of the tenoplasty and the effect obtained vary with the type of strabismus: for each millimetre of tenoplasty the resulting correction is 2.2 degrees in monocular strabismus, 2.7 degrees in alternating strabismus, and 3.3 degrees in residual strabismus.

摘要

作者提出了一种新技术,该技术包括通过位于插入部两端的两条小的浅层巩膜带延长亢进肌肉的肌腱,每条巩膜带宽度为1.5至2毫米,长度根据要矫正的偏斜程度而变化。肌腱在两条巩膜带之间与巩膜平齐处切断。27例患者的结果良好(残余偏斜小于10度),一次肌腱成形术后70%的病例如此,重复肌腱成形术后85%的病例如此。肌腱成形术的长度和所获得的效果因斜视类型而异:对于每毫米的肌腱成形术,单眼斜视的矫正效果为2.2度,交替性斜视的矫正效果为2.7度,残余斜视的矫正效果为3.3度。

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