Damanakis A G, Arvanitis P G, Ladas I D, Theodossiadis G P
Department of Ophthalmology, Medical School of Athens University, Greece.
Br J Ophthalmol. 1994 Nov;78(11):842-4. doi: 10.1136/bjo.78.11.842.
Sixteen patients with large angle infantile esotropia with deviations of 80-90 prism dioptres were operated at the age of about 2 years. All patients underwent 8 mm bilateral medial rectus recessions. At the last follow up examination, 6 to 48 months postoperatively (average 16.3 months), successful horizontal alignment was achieved in 12 patients (75%). Four patients (25%) were undercorrected. Clinically significant limitation of adduction or convergence was not observed postoperatively in any of the patients. Consecutive exotropia was not encountered in this series but a longer follow up is probably needed in order to assess its delayed appearance. These results suggest that 8 mm recession of the medial recti is an effective procedure for the correction of large angle infantile esotropia of 80-90 prism dioptres and can be considered as an acceptable alternative to operations on three or four muscles.
16例患有大角度婴儿型内斜视、斜视度为80 - 90棱镜度的患者在约2岁时接受了手术。所有患者均接受了双眼内直肌8毫米后徙术。在术后6至48个月（平均16.3个月）的最后一次随访检查中，12例患者（75%）实现了成功的水平位矫正。4例患者（25%）矫正不足。术后未在任何患者中观察到内收或集合的临床显著受限。本系列中未出现连续性外斜视，但可能需要更长时间的随访以评估其延迟出现情况。这些结果表明，内直肌8毫米后徙术是矫正80 - 90棱镜度大角度婴儿型内斜视的有效方法，可被视为三四条肌肉手术的可接受替代方案。
