Observation of superior rectus transposition with posterior intermuscular suture for abducent paralytic strabismus

中国实用眼科杂志 Pub Date : 2017-06-10 DOI:10.3760/CMA.J.ISSN.1006-4443.2017.06.013

Jun Yang, Qian Li

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Abstract

Objective To observe the effective of superior rectus transposition with posterior rectus transposition with posterior intermuscular suture for treatment of abducent paralytic strabismus. Methods A retrospection study. Totally 21 cases (21 eyes) of severe esotropia caused by abducent paralysis were treated by superior rectus transposition with posterior intermuscular suture. The cases were collected from April 2014 to December 2015 in our hospital. The position of eye in preoperation, during operation and postoperation were analyzed. Results Treated by superior rectus transposition with posterior intermuscular suture and medial rectus recession, during operation, superior rectus transposition corrected internal oblique 12±3.2o, posterior intermuscular suture of superior rectus and external rectus corrected internal oblique 4.2±1.6o, medial rectus recession 6-8mm, corrected internal oblique 14±4.2o. Esotropia of 21 cases were corrected significantly. Apparent improvement was obtained in paralytic eye. No significant vertical and rotational strabismus was induced. After 6 months to 2 years follow-up, the eye position kept stable and no obvious change occurred. Conclusions Superior rectus transposition with posterior intermuscular suture in treating abducent paralytic strabismus is feasible and its outcome is stable. Key words: Superior rectus transposition; Posterior intermuscular suture; Abducent paralytic strabismus

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上直肌转位肌间后缝治疗外展麻痹性斜视的疗效观察

目的观察上直肌转位联合后直肌转位肌间后缝治疗外展麻痹性斜视的疗效。方法回顾性研究。对21例(21眼)外展麻痹所致严重内斜视采用上直肌转位肌间后缝术治疗。病例于2014年4月至2015年12月在我院收集。分析术前、术中、术后眼的位置。结果采用上直肌转位加后肌间缝合加内直肌后退术治疗，术中上直肌转位矫正内斜12±3.2°，上直肌与外直肌后肌间缝合矫正内斜4.2±1.60°，内直肌后退6 ~ 8mm，矫正内斜14±4.2°。21例内斜视矫正明显。麻痹眼有明显改善。无明显的垂直和旋转斜视。随访6个月~ 2年，眼位保持稳定，无明显变化。结论上直肌转位加肌间后缝治疗外展麻痹性斜视是可行的，疗效稳定。关键词:上直肌移位;后肌间缝合;外展麻痹性斜视

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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.