中国斜视与小儿眼科杂志2017，Vol.25Issue(4)：11-13,3.DOI:10.3969/J.ISSN.1005-328X.2017.04.004
肉毒素注射后上直肌移位联合改良肌联结术治疗麻痹性内斜视
Treatment of paralytic esotropia by transposition of superior rectus muscle combined with modified muscle connection surgery after botox injection
邵新香 1司明宇 1范可顺1
作者信息
- 1. 221002 徐州市第一人民医院眼科徐州市眼病防治研究所
- 折叠
摘要
Abstract
Objective To observe the efficacy of superior rectus shift joint improved muscle connection to treat paralytic esotropia previously received botulinum toxin injection. Methods 20 patients(eyes)with paralytic esotropia were included. 12 patients (eyes)were divided into Group A, in which botulinum toxin was injected to medial rectus and 8 patients (eyes)were divided into Group B, in which botulinum toxin was not injected. Two groups were treated conser-vatively and observed for more than 6 months. After the degree of strabismus reached stability, superior rectus shift joint improved muscle connection and extra large recession of medial rectus was performed in both groups simultaneously. The improvement of primary eye position, degree of strabismus,compensatory head posture,eye movement and diplopia af-ter surgery was observed. Results Group A after surgery: 10 patients (eyes) were cured. Their primary eye position ranged from 0 to +7 and their front compensatory head posture and diplopia disappeared. The limitation of abversion eye movement was 3mm. The cure rates reached 91.7%. Group B after surgery: 4 patients (eyes)were cured. The cure rates reached 75.0%. There was no cyclodeviation in both groups using Fundus photography and Maddox examination after surgery. Satisfaction rate of comfort was 90.0%. No anterior segment ischemia occurred. Conclusion Superior rectus shift joint improved muscle connection is an effective and safe way to treat paralytic esotropia. There were no obvious differ-ences in the recovery of eye position, diplopia and compensatory head posture after surgery between Group A and Group B. However, it was observed during operation that the degree of medial rectus contracture in Group A was obviously less than in Group B.关键词
麻痹性内斜视/上直肌移位/内直肌超常量后徙Key words
Paralytic esotropia/Superior rectus shift/Internal rectus muscle recession引用本文复制引用
邵新香,司明宇,范可顺..肉毒素注射后上直肌移位联合改良肌联结术治疗麻痹性内斜视[J].中国斜视与小儿眼科杂志,2017,25(4):11-13,3.
