中国斜视与小儿眼科杂志2012,Vol.20Issue(1):插页4-插页6,插页2,4.
垂直斜视75例手术临床分析
Clinical analysis of surgical treatment to 75 cases of vertical strabismus
石荣先 1方亚非 1张建华 1李彬 1晁小蕊1
作者信息
摘要
Abstract
Objective To discuss the operation designs and evaluate the operation effects of vertical strabismus. Methods Reviewing and analyzing the 75 cases of vertical strabismus. According to the original vertical angle of strabismus, the degree of inferior oblique muscle hyperfunction and the different complications, six methods can be used to treat vertical strabismus: the inferior oblique muscle can be cut off, myectomy, and combined amputation with transposition, combined amputation and transposition with superior rectus recession of the ipsilateral eye/inferior rectus recession of the opposite eye. Based on the correct principles of horizontal strabismus, the patients were successfully treated if they also have horizontal strabismus problems. Superior and inferior rectus recession operations can be applied for patients who have no oblique muscle hyperfunction. Each case had more than a three-year follow-up visit on average. Results 57 cases were cured (76%), 12 cases were improved (16%) and 6 cases had no effective improvement (8%). The total effective rate is 92%. Conclusions No stereotype treatment mode exists because of the protean and complex manner of presentation in patient with vertical strabismus and operation programs must apply the procedures flexibly according to the signs and symptoms of individual patient. Six operation methods in this article are feasible in correcting vertical strabismus. Most vertical strabismus patients can be cured by one-stage operation.关键词
垂直斜视/手术方式/疗效Key words
vertical strabismus/surgical methods/operation effect引用本文复制引用
石荣先,方亚非,张建华,李彬,晁小蕊..垂直斜视75例手术临床分析[J].中国斜视与小儿眼科杂志,2012,20(1):插页4-插页6,插页2,4.