外直肌折叠眶骨膜固定术治疗固定性内斜视  

The surgical treatment of esotropia fixus by lateral rectus muscle foldback combined orbital periosteum fixation

作　　者：林伟[1] 樊映川[1] 

机构地区：[1]四川省人民医院眼科,成都610072

出　　处：《中国实用眼科杂志》2011年第4期394-395,共2页Chinese Journal of Practical Ophthalmology

摘　　要：目的 探讨固定性内斜视的手术治疗方法及手术效果.方法 对10例12只眼固定性内斜视采用内直肌完全断腱,外直肌折叠眶骨膜固定术治疗固定性内斜视.结果 术后第2～4天,12只眼水平位斜视完全矫正,1只眼残余下斜视约5°.术后随访3月至5年,患者9只眼正位,3只眼残余水平斜视5°～10°,其中2只眼同时残余下斜视5°～10°.10例患者外观明显改善,术眼视物功能部分恢复.结论 采用内直肌完全断腱,外直肌折叠眶骨膜固定术治疗固定性内斜视,手术操作简单、安全、创伤小,效果较满意,是对其治疗方法的一种有益改进.Objective To investigate surgical methods and treatment effect for esotropia fixus.Methods Ten cases of 12 eyes with esotropia fixus were treated by severing of medial rectus muscle, folding of lateral rectus muscle combined orbital periosteum fixation and made the eye overcorrection for 5-10. Results Followed-up 3 months to 5 years, 9 eyes gained normotopia and 3 eyes were undercorrection. All patients＇ visual function and appearance obtained amelioration. Conclusions Severance of medial rectus muscle, foldback of lateral rectus muscle and orbital periosteum fixation can make satisfied result in most patients of esotropia fixus.

关 键 词：固定性内斜视 外直肌 眶骨膜 

分 类 号：R777.41[医药卫生—眼科]