Maruo T, Iwashige H, Kubota N, Sakaue T, Ishida T, Honda M, Hayashi T, Usui C
Department of Ophthalmology, Teikyo University School of Medicine, Tokyo, Japan.
Jpn J Ophthalmol. 1996;40(2):235-8.
The results one month after surgery in 159 cases of superior oblique palsy were compared according to the method of surgery with the results 4 years or longer after surgery. There were 141 cases of congenital palsy and 18 cases of acquired palsy, for a total of 159 cases. Our study showed that surgery on the oblique muscle provided long-lasting effects, while recession of the superior rectus muscle or recession of the contralateral inferior rectus muscle could cause late overcorrection. When performing surgery on the rectus muscle, careful attention must be paid to suturing the muscle.
根据手术方法，对159例上斜肌麻痹患者术后1个月的结果与术后4年或更长时间的结果进行了比较。其中先天性麻痹141例，后天性麻痹18例，共159例。我们的研究表明，对斜肌进行手术可产生持久效果，而直肌后徙或对侧下直肌后徙可能导致晚期矫正过度。在对直肌进行手术时，必须注意仔细缝合肌肉。
