Damanakis A, Ikonomopoulos N, Alatsaki M, Arvanitis P
Department of Ophthalmology, Athens University School of Medicine, Greece.
Ophthalmologica. 1994;208(2):71-6. doi: 10.1159/000310456.
In a prospective study, we investigated the effect of posterior fixation sutures on the accommodative element of partially accommodative strabismus. Twenty patients were included in the study. Recession of one or both medial rectus muscles combined with bilateral posterior fixation sutures was performed on each patient. The results showed that this combined operation had a greater effect on the angle without glasses at both distance and near fixation, but not enough to eliminate the angle without glasses in all the cases. The results in patients with convergence excess are not satisfactory, as far as the reduction of the angle without glasses is concerned. In patients without convergence excess, this operation is effective in satisfactorily reducing the squint without glasses when the difference of the angle with and without glasses does not exceed 15 delta.
在一项前瞻性研究中，我们调查了后固定缝线对部分调节性斜视调节因素的影响。该研究纳入了20例患者。对每位患者进行了一条或两条内直肌后徙联合双侧后固定缝线术。结果显示，这种联合手术对远、近注视时的不戴眼镜斜视度有更大影响，但在所有病例中还不足以消除不戴眼镜时的斜视度。就不戴眼镜时斜视度的降低而言，集合过强型患者的结果并不令人满意。在非集合过强型患者中，当戴镜与不戴镜斜视度差值不超过15棱镜度时，该手术能有效且令人满意地减少不戴眼镜时的斜视。
