Clinical study of inferior oblique transposition combined with medial and lateral rectus surgery in the treatment of inferior oblique hyperfunction combined with V-type strabismus
10.3969/j.issn.1673-9701.2024.01.009
- VernacularTitle:下斜肌转位联合水平直肌手术治疗下斜肌亢进合并V型斜视的临床研究
- Author:
Zhixin SHEN
1
;
Hongming CHEN
1
;
Cheng DU
1
Author Information
1. Department of Ophthalmology, Jiaxing Hospital of Traditional Chinese Medicine Affiliated to Zhejiang Chinese Medical University, Jiaxing Key Laboratory of Ocular Surface Keratopathy Research, Jiaxing 314001, Zhejiang, China
- Publication Type:Journal Article
- Keywords:
Inferior oblique transposition;
Medial and lateral rectus surgery;
Inferior oblique hyperfunction;
V-type strabismus
- From:
China Modern Doctor
2024;62(1):36-38,62
- CountryChina
- Language:Chinese
-
Abstract:
Objective To evaluate the effectiveness and safety of inferior oblique transposition combined with medial and lateral rectus surgery in the treatment of inferior oblique hyperfunction combined with V-type strabismus.Methods Thirty-nine patients with inferior oblique hyperfunction combined with V-type strabismus admitted to Jiaxing Hospital of Traditional Chinese Medicine Affiliated to Zhejiang Chinese Medical University from November 2020 to September 2021 were selected as study objects,and were divided into combined operation group(n=28)and multiple operation group(n=11)according to different surgical programs.The visual acuity,eye position,cure rate of V sign,correction rate of inferior oblique hyperfunction,oculocardiac reflex,oculogastric reflex and complications were compared between two groups.Results One month after surgery,patients of two groups recovered the first eye position,and there were no statistical significances in the number of V sign cured and the number of inferior oblique hyperfunction corrected(P>0.05).Visual acuity returned to preoperative level in both groups.There were no significant differences in oculocardiac reflex and oculogastric reflex between two groups(P>0.05).There were no inflammatory reaction,massive subconjunctival hemorrhage,subcutaneous hematoma of eyelid,retrobulbar hemorrhage and other complications in two groups.Conclusion The effect of inferior oblique transposition combined with medial and lateral rectus surgery in the treatment of inferior oblique hyperfunction combined with V-type strabismus is not inferior to that of conventional divided operation,but it can reduce the number of operations and avoid the pain caused by the second operation,which is worthy of clinical application.
