下斜肌手术对眼球旋转状态的影响  

The influence of inferior oblique muscle surgery for eye rotate status

作　　者：庞琳[1] 朱德海[1] 曹奕雯[1] Pang Lin Zhu Dehai Cao Yiwen.(Department of Pediatric Ophthalmology, First Hospital of Peking University, Beijing 100034, China)

机构地区：[1]北京大学第一医院小儿眼科,北京100034

出　　处：《中国实用眼科杂志》2017年第6期595-597,共3页Chinese Journal of Practical Ophthalmology

摘　　要：目的探讨下斜肌后徙或前转位术对眼球旋转状态的影响。方法回顾性系列病例研究。对2010年9月至2016年12月在北京大学第一医院小儿眼科合并或不合并分离性垂直斜视的下斜肌功能亢进31例48只眼分别行下斜肌前转位或下斜肌后徙术。术前术后分别依据眼底照相测量眼球旋转度。平均随访6.67月。结果通过眼底照相，分别测量下斜肌后徙术与前转位术对眼球旋转的影响：下斜肌后徙术组36只眼，术前眼外旋平均（14.57±6.26）°，术后平均（9.50±5.45）°，术后较术前外旋改善平均（5.07±3.92）°。前转位术组12只眼，术前眼外旋平均（10.25±6.09）°，术后平均（5.75±4.73）°，术后较术前外旋改善平均（4.50±3.67）°。结论下斜肌前转位术在同时矫正肌肉亢进和DVD的同时，对眼球外旋的改善与下斜肌后徙术相似。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 excyelotorsion was improved （5.070±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.

关 键 词：下斜肌后徙术 下斜肌前转位术 旋转眼位 

分 类 号：R777.45[医药卫生—眼科]