眼性斜颈的诊断和手术探讨

报告10例因上斜肌麻痹引起的眼性斜颈,其中8例为先天性,1例后天性,另1例原因不明。经手术矫治后随访21个月,结果斜颈改善和消失者各半,疗效比较满意。讨论了有关上斜肌麻痹(眼性斜颈)的诊断和手术方法,认为减弱作用过强的患眼麻痹肌上斜肌的对抗肌下斜肌(后徙、切断或肌肉切除)是可取的首选手术,次选手术为后徙患眼上直肌或对侧健眼的下直肌。

A Study on Diagnosis and Operation of Ocular Torticollis

This article reports 10 patients with paralysis of the superior oblique (ocular torticollis), who were operated on. Of these, 8 patients were congenital, one acquired and the rest case was not affirmed. In postoperation these patients were followed up for 21 months. Ocular torticollis were improved and disappeared respectively in half patients. The results of the operation were showed satisfactory. Diagnosis and operation of paralysis of the superior oblique (ocular torticollis) are priliminarily discussed. We consider that weakening procedure of the inferior oblique of the paretic eye (recession and disinsertion, or inferior oblique myectomy)should be first chosen in the treatment of palsy of the superior oblique. The second choice was recession of the superior rectus of the paretic eye or the inferior rectus of the other eye.