中国斜视与小儿眼科杂志2024，Vol.32Issue(1)：25,后插5-后插7,4.DOI:10.3969/J.ISSN.1005-328X.2024.01.008
外直肌大量后退联合悬吊术治疗知觉性外斜视
The treatment of maximumal recession of lateral rectus muscle combined with suspension for sensory exotropia
司明宇 1薛文琛 1邵新香1
作者信息
- 1. 221001 徐州医科大学附属徐州市立医院眼科 徐州市第一人民医院
- 折叠
摘要
Abstract
Objective To analyze the effect of maximumal recession of lateral rectus muscle combined with suspension in treatment of sensory exotropia.Methods Using a retrospective study,33 cases of sensory exotropia were collected for surgery from January 2016 to January 2023.Maximumal recession(8mm)of lateral rectus muscle combined with suspension(2～7mm)was used,and the medial rectus muscle was resected(4～7mm).During the operation,initial postoperative deviation of esotropia 10～20 PD was used to determine the amount of medial rectus muscle resection and lateral rectus muscle suspension.The eye motor,horizontal deviation,vertical deviation and eye rotation were compared,preoperatively and postoperatively.Results The operation was successful in 27 cases(81.82％),3 with exotropia recurrence and 3 cases with esotropia greater than+15PD.The horizontal deviation was changed from preoperative-59.2±17.4PD to postoperative 5.5±8.1PD,with statistical differences(t=-16.608,P=0.000).The preoperative FDA(fovea disc angle)value was 7.5°±1.8°,and the postoperative was 7.3°±1.5°,with no statistical difference(t=0.819,P=0.421).The degree of the postoperative abduction limitation was -1.8±0.6 level.Conclusions The maximumal recession of lateral rectus muscle combined with suspension in treatment of sensory exotropia is effective.关键词
超大量外直肌后退/悬吊/外转受限/知觉性外斜视Key words
Super maximumal lateral rectus muscle recession/Suspension/Abduction restriction/Sensory exotropia引用本文复制引用
司明宇,薛文琛,邵新香..外直肌大量后退联合悬吊术治疗知觉性外斜视[J].中国斜视与小儿眼科杂志,2024,32(1):25,后插5-后插7,4.
