Gräf M, Krzizok T, Kaufmann H
Augenklinik für Schielbehandlung und Neuroophthalmologie, Universität Giessen.
Ophthalmologe. 1994 Feb;91(1):62-7.
We studied the influence of axial bulbus length on the effect of the recession/resection procedure in 175 patients and found a significant negative correlation between the axial length and surgical effect in 62 esotropic patients undergoing surgery of various degrees. A poor correlation was found in 69 exotropic patients. In a group of 54 patients who underwent recession/resection surgery for esotropia with 5 mm recession of the medial rectus muscle and 7 mm resection of the lateral rectus muscle there was a highly significant correlation between the axial length and effect. There was also a significant correlation between the angle of the preoperative deviation and the response to surgery in the esotropic groups. To reduce the variability of strabismus surgery the bulbus length should be taken into consideration, at least in recession/resection procedures when the surgery exceeds 10 mm.
我们研究了眼轴长度对175例患者行后退/切除术效果的影响，发现在62例接受不同程度手术的内斜视患者中，眼轴长度与手术效果之间存在显著负相关。在69例外斜视患者中发现相关性较差。在一组54例因内斜视接受后退/切除术的患者中，内直肌后退5mm、外直肌切除7mm，眼轴长度与手术效果之间存在高度显著相关性。在内斜视组中，术前斜视角度与手术反应之间也存在显著相关性。为减少斜视手术的变异性，应考虑眼轴长度，至少在手术量超过10mm的后退/切除术时。
