手术治疗Helveston综合征2例(英文)

Surgical treatment of Helveston syndrome:two cases report

目的:通过对两例Helveston综合征的治疗体会来探讨其手术治疗方法。方法:采用双眼外直肌后退并垂直移位来矫正A外斜,同时采用双眼上直肌后退来矫正DVD。结果:随访6mo,两例患者的A外斜以及DVD均消失。结论:Helveston综合征患者,只要其斜视度数在允许范围内,在充分作好术前检查的情况下,是可以设计一次手术同时矫正水平和垂直斜视的。

AIM： To report two patients with Helveston syndrome who received surgical treatment. METHODS： During last year in department of ophthalmology in West China Hospital, the surgery was designed to correct A-exotropia by lateral rectus＇ weaken and vertical offsets, and dissociated vertical deviation （DVD） by superior rectus muscles recession simultaneously. RESULTS. A-exotropia and DVD of the patients vanished six months after the surgery. Both patients were clinically cured. CONCLUSION： As the degree of horizontal and vertical strabismus was in the allowed range, complete examination and full assessment of the function of the four muscles were performed before operation, single operation can be considered in the treatment of Helveston syndrome.