Hoover D L, Giangiacomo J
Department of Ophthalmology, Children's Hospital of Pittsburgh, University of Pittsburgh School of Medicine, PA.
J Pediatr Ophthalmol Strabismus. 1993 Mar-Apr;30(2):124-6. doi: 10.3928/0191-3913-19930301-16.
A single 5.5-millimeter to 8.0-millimeter lateral rectus resection eliminated diplopia in five of six adult patients with divergence paralysis and in all three patients with a sixth cranial nerve paresis. Preoperative distance esotropia ranged from 11 to 20 prism diopters in primary gaze. Prism therapy failed in seven of nine patients. Lateral incomitance was reduced in three patients with a mild limitation of abduction preoperatively, but was not induced in the six patients with divergence paralysis. Significant overcorrection of the near esodeviation did not occur. A single lateral rectus resection can effectively eliminate diplopia in selected patients with divergence and partial sixth nerve paralysis.
单次进行5.5毫米至8.0毫米的外直肌切除术，使6例散开麻痹成年患者中的5例以及所有3例动眼神经麻痹患者的复视消失。术前在第一眼位时，远距离内斜视范围为11至20三棱镜度。9例患者中有7例棱镜疗法无效。术前外展轻度受限的3例患者外斜视减少，但6例散开麻痹患者未出现外斜视。未发生明显的近距内斜视过矫。单次外直肌切除术可有效消除部分散开和动眼神经部分麻痹患者的复视。
