The influence of inferior oblique muscle surgery for eye rotate status

中国实用眼科杂志 Pub Date : 2017-06-10 DOI:10.3760/CMA.J.ISSN.1006-4443.2017.06.012

Lin Pang, De-Jun Zhu

引用次数: 0

Abstract

Objective To investigate the influence of excyclotorsion by inferior oblique (IO) recession versus anterior transposition. Methods A total of 31 cases (48 eyes) with paralysis of superior oblique (SOP) were reported. Recession of IO was performed in 36 eyes with SOP (group A) and anterior transposition of IO was performed in 12 eyes with SOP associated with dissociated vertical deviation (group B). Objective cycloposition was assessed by fundus photograph before and after surgery in all cases. The mean time of follow-up was 6.67 months. Results The fovea-disc angle (FAD) of pre-or post-operation were (14.57°±6.26°) and (9.50°±5.45°), respectively. In group A and group B, that were (10.25°±6.09°) and (5.75°±4.73°) respectively. The excyclotorsion was improved (5.07°±3.92°) and (4.50°±3.67°), respectively in two groups. Conclusions The effect to improve excyclotorsion by inferior oblique recession or anterior transposition is similar. Key words: Recession of IO; Anterior transposition of IO; Cycloduction

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下斜肌手术对眼旋转状态的影响

目的探讨下斜肌(IO)后退对前转位外旋的影响。方法对31例(48眼)上斜眼麻痹患者进行回顾性分析。A组36只眼行眼内移位术，B组12只眼行眼内移位术，并伴有游离性垂直偏移。所有病例术前、术后均通过眼底照片评估眼内睫状体位置。平均随访时间6.67个月。结果手术前后中央窝-椎间盘角(FAD)分别为(14.57°±6.26°)和(9.50°±5.45°)。A组为(10.25°±6.09°)，B组为(5.75°±4.73°)。两组患者的外扭转度分别为(5.07°±3.92°)和(4.50°±3.67°)。结论下斜位后退和前转位对扭转外旋的改善效果相似。关键词:IO衰退;IO前移位;Cycloduction

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中国实用眼科杂志

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期刊介绍： China Practical Ophthalmology was founded in May 1983. It is supervised by the National Health Commission of the People's Republic of China, sponsored by the Chinese Medical Association and China Medical University, and publicly distributed at home and abroad. It is a national-level excellent core academic journal of comprehensive ophthalmology and a series of journals of the Chinese Medical Association. China Practical Ophthalmology aims to guide and improve the theoretical level and actual clinical diagnosis and treatment ability of frontline ophthalmologists in my country. It is characterized by close integration with clinical practice, and timely publishes academic articles and scientific research results with high practical value to clinicians, so that readers can understand and use them, improve the theoretical level and diagnosis and treatment ability of ophthalmologists, help and support their innovative development, and is deeply welcomed and loved by ophthalmologists and readers.