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6年间共收治12例单眼上转肌麻痹患者,其临床特征为患眼下斜视,下斜度≥50△,多合并外斜视,外斜度<30△.患眼向上、内上和外上方向转动受限,且伴有假性上睑下垂。手术原则为垂直斜度≤30△者行患眼下直肌后徙,30~50△者行患眼下直肌和健眼上直肌后徙,≥50△者除患眼下直肌和健眼上直肌后徙外,同时作患眼上斜肌腱.对合并混合性上睑下垂行提上睑肌折叠术,真性上睑下垂行提上睑肌缩短术.依据上述原则施术12例,10例眼位矫正,上睑下垂消失,欠矫和过矫各1例,效果满意。
During 6 years, a total of 12 patients with monocular supranuclear muscular paralysis were treated. Their clinical features were preoccupation with under-eye strabismus, apical depression ≥50 △, combined exotropia and exotropia <30 △. Suffering from the eye upward, the inner and outer rotation of the upper restricted, and accompanied by pseudo-ptosis. The principle of surgery for the vertical gradient of ≤ 30 △ line of patients with rectus rectus immediately after the line, 30 ~ 50 △ line with immediate rectus and healthy eye rectus rectum, ≥ 50 △ in addition to suffering from immediate rectus and eye health Rectus muscle resettlement, while suffering from oblique eye tendon. Combination of mixed ptosis on the levator muscle fold surgery, true ptosis to mention levator muscle shortening surgery. According to the principle of operation in 12 cases, 10 cases of correction of the position, disappearance of ptosis, undercorrection and overcorrection in 1 case, the effect is satisfactory.