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由各种原因所致的外直肌完全麻痹性内斜视,患者一般向正前方不能注视,内斜度较大,完全不能外转或外转不到中线,且有明显的拮抗肌挛缩。此类斜视如单纯作内直肌退后、外直肌缩短术,常不能矫正内斜视,更不能恢复外转功能。我院近来采用直肌联结术,矫正3例外伤性外直肌完全麻痹性内斜视,效果尚满意,兹择要报告如下。病例举例杨××,男,23岁,工人,七年前因头部撞伤致右面部瘫痪,右眼内斜。平时偏脸视物,有复视。一年后曾两次在当地医院行右眼
External rectus muscle due to various reasons completely paralytic esotropia, the patient generally can not gaze to the front, the greater the slope, can not be outside or outside the transfer to the midline, and significant antagonistic muscle contracture. Such as strabismus such as simple for the rectus abdominis, lateral rectus shortening surgery, often can not correct esotropia, but can not restore the function of the outside. Recently, our hospital with rectus muscle surgery, 3 cases of traumatic external rectus muscle complete paralytic esotropia, the effect is still satisfactory, it is necessary to report as follows. Case example Yang × ×, male, 23 years old, worker, paralyzed right facial seven years ago due to head injury, right eye oblique. Usually face-shifting, diplopia. A year later, he had his right eye at a local hospital