Ali A L, Boergen K P, el Naggar A B, Schworm H D
Department of Pediatric Ophthalmology and Strabismology, University Eye Hospital, Munich, Germany.
Ger J Ophthalmol. 1996 Sep;5(5):289-93.
Treatment of A and V patterns through surgery on the overacting oblique muscles was evaluated. A retrospective analysis of 330 operated cases with A and V patterns was performed. Surgery on the overacting oblique muscles proved to be successful in treating the vertical incomitance in these patterns, especially after the introduction of maximal recession of the inferior oblique muscle in cases with marked V patterns that used to show undercorrections with the usual 8-mm recession. Little was found in the literature about the binocular vision in these patterns. We therefore evaluated cases with special regard to the functional point of view. We found that about one-third of the patients had had simultaneous perception preoperatively and that more than two-thirds did so postoperatively.
评估了通过手术治疗上斜肌亢进引起的A和V型斜视。对330例接受手术治疗的A和V型斜视病例进行了回顾性分析。事实证明，对上斜肌亢进进行手术可成功治疗这些类型的垂直斜视，特别是在对明显V型斜视的病例采用下斜肌最大后徙术之后，以往采用常规8毫米后徙术常出现矫正不足的情况。关于这些类型斜视的双眼视觉，在文献中几乎没有相关报道。因此，我们从功能角度对病例进行了评估。我们发现，约三分之一的患者术前有同时视，术后超过三分之二的患者有同时视。
