González C, Cinciripini G
Department of Ophthalmology and Visual Science, Yale University School of Medicine, New Haven, Conn., USA.
J Pediatr Ophthalmol Strabismus. 1995 Mar-Apr;32(2):107-13. doi: 10.3928/0191-3913-19950301-11.
Anterior transposition of the inferior oblique (ATIO), is an accepted surgical procedure for the treatment of primary inferior oblique overaction and dissociated vertical deviation. Our study was undertaken to see if ATIO could be useful in the treatment of preselected unilateral superior oblique palsy (SOP) patients. Three consecutive patients with unilateral SOP with preoperative primary-position hypertropia averaging 27 delta, Knapp class V, underwent ATIO. The results were excellent and none of these patients developed primary-position hypotropia. Complications of ATIO in our patients consisted of some elevation deficiency, elevation of the lower lid in upgaze, and reduced inferior "scleral show" in the surgically treated eye. We are proposing that ATIO be considered as a beneficial operation in unilateral SOP patients with at least 25 delta of preoperative primary-position hypertropia.
下斜肌前转位术（ATIO）是治疗原发性下斜肌亢进和分离性垂直偏斜的一种公认的外科手术。我们开展这项研究是为了观察ATIO是否对经预选的单侧上斜肌麻痹（SOP）患者有用。连续3例单侧SOP患者，术前原在位上斜视平均为27棱镜度，Knapp V级，接受了ATIO手术。结果非常好，这些患者均未出现原在位下斜视。我们患者中ATIO的并发症包括一些上转不足、上视时下睑上抬以及手术眼下方“巩膜暴露”减少。我们建议，对于术前原在位上斜视至少25棱镜度的单侧SOP患者，应将ATIO视为一种有益的手术。
