旋转斜视的临床特征及处理  

The clinical characteristics and management of torsional strabismus

作　　者：张伟[1] 赵堪兴[1] 郭新[1] 杜翠琴[1] 宋坤英[1] 马惠芝[1] 岳以英[1] 朱丽娜[1] 陈霞[1] 

机构地区：[1]天津市眼科医院,天津300040

出　　处：《中国实用眼科杂志》2004年第10期826-827,共2页Chinese Journal of Practical Ophthalmology

摘　　要：目的　探讨旋转斜视临床特征及不同处理方法。方法　 12例主述旋转复视患者根据眼球运动、同视机、双马氏杆和眼底照相等不同检查结果 2例行下斜肌减弱术 ,10例行上斜肌矢状移位术。结果　所有患者未再述旋转复视 ,视自然物体清晰。结论　上斜肌矢状移位术适用于前下方明显的外旋转斜视 ,是治疗旋转斜视的主要方法 ,而上半视野旋转斜视明显时应采取下斜肌减弱术。Objective To investigate the clinical features and to evaluate the effects of different surgical procedures of torsional strabismus.Methods 12 cases of torsional strabismus were studied.The inferior oblique muscle weakening procedure was performed on 2 cases and 10 cases were treated with the superior oblique sagittal transpositon according to examination results of ocular movements,amblyoscope,double Moddox rod bar and fundus photography.Results All patients didn′t complain torsional diplopia again and see natural object clearly.Conclusions The superior oblique sagittal transpositon is an effective method for downgaze torsional diplopia while the inferior oblique muscle weakening procedure is useful for upgaze torsional diplopia.

关 键 词：斜视 临床特征 移位术 上斜肌 下斜肌减弱术 复视 患者 旋转 方明 结论 

分 类 号：R777[医药卫生—眼科] R541.75[医药卫生—临床医学]