外斜视V征的手术治疗  

Surgical treatment of V-style exotropia

作　　者：殷小龙[1] 鲁纯葆[1] 陈珊[1] 彭小维[1] 吴劲松[1] 邓燕[1] 杨洋[1] 

机构地区：[1]江西医学院第二附属医院,江西南昌330006

出　　处：《眼外伤职业眼病杂志》2006年第8期607-608,共2页Journal of Injuries and Occupational Diseases of the Eye with Ophthalmic Surgeries

摘　　要：目的探讨外斜视V征的手术治疗方法。方法总结69例外斜视V征手术,观察手术前、后眼位的变化和双眼单视功能的情况。结果69例中有40例(76眼)行下斜肌减弱术。29例(58眼)行外直肌后退术并肌止端向上移位术,其中12例(12眼)行内直肌缩短术并肌止端向下移位术。术后眼位恢复正位61例(88.41%),术后获得双眼单视功能42例(60.87%)。结论外斜视V征的手术方法是根据病因不同,选择下斜肌减弱术或者水平肌止端移位术联合外斜视矫正术。Objective To study the surgical methods of V-style exotropia. Methods Analysed the eiTeetiveness of 69 eases of V-style exntropia treaed with surgery and observed the primary position of gaze and single binocular vision before surgery and after surgery. Results In the 69 eases, 40 eases（76 eyes） were treated with anterior transposition of the inferiar ohlique suaecle; 29 card （588 eyes） were treated with reeessinn and up transposition of the temple rectus; 12 cases （ 12 eyes） were treated with shirtening operation and down transposition of the medial reclus. After surgery, orthophoria was 57 eases（ about 82.6% ）, 42 eases （about 60.9% ） had obtained single hinocular vision. Conclusions For V-style,exotropia with anterior transposition of the inferior oblique muscle and transposition of horizontal mueles eombined with the correction of exotropia should be. seleeted at different condition.

关 键 词：外斜视 V征 手术 

分 类 号：R779.6[医药卫生—眼科]