Voinea L, Samson M, Iliescu M
Clinica de Oftalmologie, Spitalul Universitar Bucureşti.
Oftalmologia. 1996 Apr-Jun;40(2):120-4.
One child four and half years old remains with a divergent deviation by forty-five degree with absence of adduction, after an operation of convergent strabismus at the left eye. Considering that is about by one postoperatorial paralytic strabismus, computer tomography praises the right intern muscle retracted at the back of orbit, but it doesn't adheres at the eyeball. It considers that the divergent strabismus was caused by the slide of postoperatorial muscle. Looking middle line of the muscle, parallel with the middle wall of the orbit, it praises the right intern muscle retracted and after the excision of the granulation tissue all round, displays the muscle with its normal lenght. It cuts 3.5 milimeters from this muscle and it practices the retroposition of the extern right muscle with 7 milimeters. It obtains postoperatorial orthophoria. It talks about possibility of lossen of a right muscle in orbit intra- and post-operatorial and the measures that are imposed in these situations.
一名四岁半的儿童在左眼进行了内斜视手术后，仍存在45度的外展偏差且不能内收。考虑到这是术后麻痹性斜视，计算机断层扫描显示右内直肌退缩至眶后，但未附着于眼球。认为外斜视是由术后肌肉滑动引起的。观察与眶中壁平行的肌肉中线，显示右内直肌退缩，在切除周围肉芽组织后，显示出正常长度的肌肉。从该肌肉上切除3.5毫米，并将右外直肌后徙7毫米。术后获得正位视。文中讨论了术中及术后眼眶内右肌肉丢失的可能性以及在这些情况下应采取的措施。
