残余性或复发性斜视的手术治疗

Surgical treatment for residual or recurrent strabismus

残余性或复发性斜视的手术治疗方式主要包括后固定缝线术、内直肌边缘切开术、单侧或双侧直肌再次后徙术和截除术、单侧外直肌后徙术以及可调整缝线术等。尽管手术治疗残余性或复发性斜视是一种安全有效和具有可预测性的治疗方法,然而手术方式的选择仍然取决于首次的手术方式、手术量以及残余或复发的斜视度、手术者的经验等因素。本文将介绍上述手术方式在治疗残余性或复发性斜视的研究现状及进展。

The surgical treatment method of residual or recurrent strabismus mainly include posterior fixation sutures,medial rectus marginal myotomy,unilateral or bilateral rectus re-recession and resection,unilateral lateral rectus recession,adjustable suture and so on.Although the surgical treatment is a relatively effective and predictable method for correcting residual or recurrent strabismus,but the choice of the surgical procedure depends on the former operation pattern and the surgical dosages applied on the patients,residual or recurrent angle of deviation and the operator＇s preference and experience.This article reviews the research status quo and advance in the management of residual or recurrent esotropia and exotropia.