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[不稳定斜视角度的手术矫正(作者译)]

[Surgical correction of esotropias with unstable angles (author's transl)].

作者信息

Moro F, Bornelli S, Tomarchio S

出版信息

Klin Monbl Augenheilkd. 1981 Sep;179(3):187-90. doi: 10.1055/s-2008-1057289.

Abstract

The authors report on the surgical procedure for retroequatorial myopexis, with and without rearward relocation. Analysis of the surgical procedure for retroequatorial myopexis of the rectus lateralis and medialis with and without rearward relocation: 1) simple myopexis - anchoring the muscle on the sclera 14 mm from the insertion of the rectus medialis (19 mm in the case of the rectus lateralis); 2) combined procedure (myopexis and rearward relocation). Forty patients with esotropia and unstable angle, as well as clear signs of a blockage, underwent surgery. In 47% of the patients sensoric orthophoria was achieved, in 43% a significant reduction of the angle; in 5% treatment resulted in overcorrection and in 5% the angle was unchanged.

摘要

作者报告了赤道后肌固定术的手术方法,包括有无向后移位的情况。对有或无向后移位的外直肌和内直肌赤道后肌固定术的手术方法分析如下:1)单纯肌固定术——将肌肉固定在距内直肌附着点14毫米处的巩膜上(外直肌为19毫米);2)联合手术(肌固定术和向后移位)。40例患有内斜视且角度不稳定以及有明显阻滞体征的患者接受了手术。47%的患者实现了感觉性正位,43%的患者角度显著减小;5%的患者治疗后出现过矫,5%的患者角度未变。

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