先天性上斜肌异常2例
Chinese Journal of Strabismus & Pediatric Ophthalmology（2022）
Abstract
上斜肌是六条眼外肌中走行最长、厚度最薄的肌肉,在眼外肌手术中难度较大,原因是因为上斜肌附着点解剖变异较大.现将我们遇到的两例先天性上斜肌异常患者报告如下.
病例1 患者王××,女,5岁8个月,主因内斜视术后3年余入院.患儿9个月时因先天性内斜视,行双眼内直肌注射BOTOX各2.5IU.1岁10个月时行右眼内直肌后徙4.5mm+外直肌缩短4.5mm.入院查体:裸眼视力右0.5,左0.6.1％阿托品散瞳验光:右+2.25DS+1.75DC×170°=1.0,左+2.00DS+1.00DC×95°=1.0.
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