国际眼科杂志2016，Vol.16Issue(7)：1392-1393,2.DOI:10.3980/j.issn.1672-5123.2016.7.52
Helveston 综合征的手术治疗
Surgical treatment methods for Helveston syndrome
摘要
Abstract
AIM: To investigate the surgical methods of Helveston syndrome. <br> METHODS: Fifteen cases ( 30 eyes ) with Helveston syndrome were studied. Surgical method was selected according to the degree of superior oblique muscle overaction and dissociated vertical deviation (DVD). <br> RESULTS: Binocular superior oblique intrathecal tenectomy was performed in 8 patients (16 eyes). Follow-up period after surgery was 1-3a. Those 8 patients got A-sign correction, of which 3 patients (6 eyes) got DVD vanished and 5 patients (10 eyes) got DVD alleviation. None of the 8 cases needed another operation for DVD. Binocular superior rectus recession and binocular lateral rectus recession with vertical offsets was performed in 4 patients (8 eyes). Follow-up period after surgery was 1-3a. The 4 patients got A sign correction and with orthophoria, of which 1 patient ( 2 eyes ) got DVD vanished and 3 patients ( 6 eyes) got DVD alleviation. None of the 4 cases needed another operation for DVD. Binocular lateral rectus recession and vertical offsets was performed in 3 patients (6 eyes). Follow-up period after surgery was half a year, with orthophoria, no A sign, DVD weakened, and no second operation was needed. CONCLUSION: Surgical procedures for Helveston syndrome can be selected according to the degree of superior oblique muscle overaction and DVD.关键词
Helveston 综合征/上斜肌/手术/DVDKey words
Helveston syndrome/superior oblique/surgery/dissociated vertical deviation引用本文复制引用
王成虎,徐新萌,蒋沁..Helveston 综合征的手术治疗[J].国际眼科杂志,2016,16(7):1392-1393,2.基金项目
南京医科大学科技发展基金项目(No.2014NJMU067) （No.2014NJMU067）
