中国斜视与小儿眼科杂志2018，Vol.26Issue(2)：20-23,4.DOI:10.3969/J.ISSN.1005-328X.2018.02.006
下斜肌转位术对间歇性外斜视手术的影晌
The effect of inferior oblique muscle transposition on intermittent exotropia
夏韦艺 1赵晨1
作者信息
- 1. 215300 苏州市, 江苏大学附属昆山医院
- 折叠
摘要
Abstract
Objective To evaluate the effect of anterior transposition of inferior oblique muscle combined with rectus muscle recession procedure for intermittent exotropia. To quantity the efficacy of anterior transposition of inferior oblique muscle for horizontal deviations. Methods Cases who underwent a simultaneous procedure of lateral rectus muscle recession as well as anterior transposition of inferior oblique muscle were categorized as group A (31cases) and those who underwent lateral rectus muscle recession as a sole operation were categorized as group B (101 cases). Surgical outcomes among the two groups were evaluated and compared. Guidelines of the American Academy of Ophthalmology (AAO) were applied for surgical amounts of exotropia and set as control group. The corrected horizontal amounts at near and distance in group A were compared with control group. Results When the rate of horizontal orthophoria between group A and group B was compared, no significant difference was identified (P=0. 73). Compared to control group, 23 patients in group A who underwent unilateral anterior transposition of inferior oblique muscle displayed an overcorrection of 1.5±4.3PD (P = 0.48) and - 1.0 ± 3.2PD (P = 0.52) at near and distance, respectively. This figure for patients who underwent bilateral operation (n = 8) was 1.1±4.8 PD (P=0. 14) at near and 0.6±8.3PD (P = 0. 97) at distance. Conclusions Anterior transposition of inferior oblique muscle appears to be a safe and decent procedure for patients of intermittent exotropia with IOOA. The efficacy of anterior transposition of inferior oblique muscle for horizontal deviations is negligible in planning a simultaneous horizontal muscle surgery and setting the surgical amount.关键词
下斜肌转位术/下斜肌功能亢进/间歇性外斜视Key words
Anterior transposition of inferior oblique muscle/Inferior oblique overaction/Intermittent exotropia引用本文复制引用
夏韦艺,赵晨..下斜肌转位术对间歇性外斜视手术的影晌[J].中国斜视与小儿眼科杂志,2018,26(2):20-23,4.
