以上直肌後徙術治療分離性垂直斜視

Superior Rectus Recession for the Treatment of Dissociated Vertical Deviation

沈秉衡(Brian Bing-Herng Shen) ； 莊文慧(Wen-Huey Jhuang)

《中華民國眼科醫學會雜誌》 35卷3期 (1996/09) Pp. 283-289

https://doi.org/10.30048/ACTASOS.199609.0005

摘要

分離性垂直斜視是斜視手術範疇中較難完全治癒的一型斜視，至今也有很多種手術方法被提出來，效果各異。本篇收集分離性垂直斜視患者13名，共23隻眼，施予上直肌後徙術。手術採操作方便的懸吊式縫法(Hang-back technique)，年齡大於8歲的患者並採用可調節式縫法(Adjustable suture)。上直肌後徙量依分離性垂直斜視的角度不同而變化，從5毫米到12毫米不等。術後結果分析，達到極佳效果(Excellent result)者占57%，亦即術後殘餘角度小於4PD(Prism diopter)；達到良好效果(Good result)者占22%，即術後角度介於5到9PD之間。總和來說，78.3%的患者可達到剩餘角度小於9PD的令人滿意程度(Satisfactory result)。上直肌後徙術即使是後退直肌到12毫米的距離，也都不會香生瞼距改變、眼肌障礙等併發症，是治療分離性垂直斜視極佳的選擇。

並列摘要

Thirteen patients (23 eyes) received graduated superior rectus recession for treatment of dissociated vertical deviation. ”Hang-back” technique was used in all patients; and adjustable suture was combined in patients older than eight years old. The amount of surgery was graded according to the size of deviation. After operation, 57% of eyes were aligned to the group of excellent result (0-4 Prism Diopter), while 22% of eyes got good result (5-9 Prism Diopter). Overall 78.3% of eyes achieved satisfactory result (0-9 Prism Diopter). Graduated superior rectus recession is an effective treatment for dissociated vertical deviation, without common complications of other procedures.

並列關鍵字

dissociated vertical deviation ； superior rectus muscle ； recession ； prism diopter