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Dołączył: 30 Lip 2010
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Temat postu: tory burch flats Inferior oblique muscle weakening |
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Inferior oblique muscle weakening procedure of the discussion
Check with the TV when the first sight of eyes watching the results at time of suffering from eye higher than the healthy eye as the main basis. Reference conditions: head tilt test, all 25 cases (+), compensatory head position, l9 patients with torticollis, most of the nose are reduced below the note field of vision, 25 cases showed hyperfunction of inferior oblique, complex like a check; l patients with congenital superior oblique palsy severe diplopia. The author's classification and by Meng Xiangcheng classificatory criteria, grouped into three types: once (heavy): appearance in the rotation and appears on the strabismus. Severe I type: vertical deviation ≥ ll. Or 6. ~ Lo. . + External rotation ≤ 5. , External rotation slope (+). Severe I type: vertical deviation ≤ lo. + External rotation ≥ 6. , External rotation slope (on the ~ thirty). Second (medium): extreme internal rotation when the show on the strabismus. Moderate I type: extreme internal rotation when the show on the strabismus. Moderate I type: vertical ramp 6. ~ 1o. , External rotation gradient (~). Moderate Ⅱ: vertical slope ≤ 5. , Rotation slope ≤ 5. , External rotation slope (+). Three (light): turn inward when there on on strabismus. Vertical slope ≤ 5. , Rotation slope (a). 25 cases, 8 cases of severe type I, Ⅱ in 5 cases, moderate in 7 cases I, Ⅱ type l patients, light in 4 cases. 1.4 Operation Method: l cases of light off the inferior oblique muscle tendon surgery for 3 patients for resection of the inferior oblique, moderate in 8 cases for only the inferior oblique muscle after surgery. Heavy: A total of l3 cases, 7 were for resection of the inferior oblique, only 6 patients after surgery for inferior oblique muscle. One commonality of the secondary,[link widoczny dla zalogowanych], the combined vertical strabismus exotropia in 9 cases,[link widoczny dla zalogowanych], respectively,[link widoczny dla zalogowanych], made only within the rectus or lateral rectus and inferior oblique muscle after resection or only after the surgery. 1.5 Results: 15 patients with vertical strabismus, lo cases of horizontal strabismus vertical strabismus combined total of 25 down, in which cases were bilateral orthotopic 2l. Beauty cure, l 5 cases of residual esotropia. , 3 vertical ramp residue 5. , L patients with preoperative diplopia, diplopia after elimination of the remaining patients had no diplopia occurred. Different degrees of compensatory torticollis were reduced or eliminated. 2 to discuss the formulation of 2.1 operative procedures: 25 cases,[link widoczny dla zalogowanych], in 3 cases more than 20 years of age outside. The rest are young children and children. With the extension of disease, suffering from eye of direct antagonistic superior oblique and more obvious function of the inferior oblique muscle is too strong (more than ten ten), should be preferred at this time, after suffering only wood now oblique, even cases of severe paralysis. Such as interest compensatory function of the inferior oblique eye is very obvious, visible inferior oblique muscle surgery are especially large, sometimes after only one surgery for inferior oblique muscles also get satisfactory results. Choice for mild off the inferior oblique muscle tendon surgery or resection. 2.2 The combined treatment of horizontal strabismus: the strabismus surgery should take into account in the treatment of 2o. Above, the exotropia should be corrected for vertical and horizontal strabismus after strabismus surgery rotation. 2.3 The timing of surgery: a congenital superior oblique palsy after early surgery after diagnosis should be to prevent or mitigate the occurrence of long-term compensatory head posture and spinal and facial deformity, and long course and short course is better than the effect of good younger However, to be acquired superior oblique palsy in the conservative treatment of six months may be considered to be in stable condition after surgery. After the inferior oblique muscle surgery only 2.4 Evaluation: suffering was now too strong oblique, external rotation of the gradient should be preferred in patients with large only after the inferior oblique muscle surgery is appropriate,[link widoczny dla zalogowanych], this procedure than surgery or inferior oblique cut the effect of partial resection of the muscle does, stable, reliable, and inferior oblique adhesion syndrome occurs less opportunities, its only drawback is more complicated operation, and special anatomical relationship, such as macular surgery in easy to damage accidentally, optic nerve, ciliary vessels, if familiar with the anatomy and surgical procedures, only the inferior oblique muscle surgery or after surgery should be preferred.
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