中国斜视与小儿眼科杂志2024，Vol.32Issue(1)：14-15,4,3.DOI:10.3969/J.ISSN.1005-328X.2024.01.004
先天性上斜肌麻痹下斜肌减弱术后二次手术探查分析
Analysis of the exploration results of secondary surgery after inferior oblique weaken surgery in patients with congenital superior oblique palsy
李桂萍 1夏改秀1
作者信息
- 1. 252000 聊城市眼科医院 东昌府区妇幼保健院
- 折叠
摘要
Abstract
Objective To explore the reason and treatment effect of the secondary operation of inferior oblique(IO)in patients with congenital superior oblique palsy(SOP).Methods retrospective study.11 cases with SOP received IO weakening surgery,but they still retain recurrence head posture.The exploration was analyzed according to the intraoperative exploration results of eye movement,vertical eye position and compensatory head posture.Results Exploratory surgery showed that the scar connection of the severed IO in 4 eyes,broken ends of IO entwined with Tenon Capsulein in 1 eye,severed end fibers of IO oblique muscle bundles were attached to the inferior temporal scleral membrane in 6 eyes.After 3 months follow-up,vertical deviation,compensatory head posture and inferior oblique overaction was improved.Conclusions Patients with SOP after IO weakening surgery,if it is still accompanied by postoper-ative inferior oblique overaction,through IO exploration,can be found out the result and targeted treatment,can achieve better results.关键词
上斜肌麻痹/下斜肌减弱/下斜肌探查Key words
Superior oblique palsy/Inferior oblique weakening/Inferior oblique exploratory引用本文复制引用
李桂萍,夏改秀..先天性上斜肌麻痹下斜肌减弱术后二次手术探查分析[J].中国斜视与小儿眼科杂志,2024,32(1):14-15,4,3.
