文章基本信息

标题：Periosteal Fixation Applied to Patients with Large-angle Paralytic Strabismus
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作者：Eom, Hee Dong ; Kwon, Young Ki ; Son, Byeong Jae 等
期刊名称：Journal of the Korean Ophthalmological Society
印刷版ISSN：0378-6471
出版年度：2018
卷号：59
期号：3
页码：268-275
DOI：10.3341/jkos.2018.59.3.268
语种：Korean
出版社：The Korean Ophthalmological Society
摘要：Purpose
To evaluate the effect of periosteal fixation in patients with large-angle paralytic strabismus that was not corrected through conventional strabismus surgery.
Methods
Four eyes of three patients with large-angle paralytic strabismus who underwent periosteal fixation from June 2014 to August 2014 were examined. All patients presented with exotropia > 50 prism diopters (PD). Two of them showed exotropia caused by chronic complete oculomotor nerve palsy; the other two showed exotropia caused by medial rectus muscle injury during endoscopic sinus surgery.
Results
The mean preoperative exodeviation using the Krimsky test was 58 ± 29 PD. The postoperative values were 6.5 ± 9.4 PD at 1 week, and 11.25 ± 2.5 PD at 6 months. The mean surgical effect of exodeviation was 43.75 ± 21.36 PD.
Conclusions
Periosteal fixation is an effective surgery for the management of paralytic strabismus that was not corrected through conventional strabismus surgery.
关键词：Exotropia; Paralytic strabismus; Periosteal fixation