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A、V 综合征即上、下不相称的水平性斜视(Vertical-Noncomitant-HorizontalStrabismus)、“三角形综合征”(TriangleSyndrome)、“反三角形综合征”(lnverseTriangle Syndrome)。它是根据眼向水平位上、下各转25~0～30~0时,两眼在这二个方向上与原眼位共转斜或继发共转斜的斜视度明显不同,呈“A”或“V”字母形状而命名的。可分别称之为内斜视A 或V 和外斜视A 或V 征。内、外斜视V 征要在上、下转25~0～30~0时,内、外斜视度数与原眼位表现的内、外斜视度数相差15~Δ(约9~0);A 征要差10~Δ(约6~0)以上,构成病理性者,可以手术矫正。如果把它当做一般的共转性水平性斜视手术,效果是不会理想的。A、V 综合征手术方法有内、外直肌手术,上、下直肌手术,上、下斜肌手术等。自1980年3月至1982年底我科用上述方法矫正A、V 综合征20例。现报告如下。
A, V syndrome that the upper and lower disproportion of the level of strabismus (Vertical-Noncomitant-HorizontalStrabismus), “triangle syndrome” (TriangleSyndrome), “inverse triangle syndrome” (lnverseTriangle Syndrome). It is based on the level of the eye to the upper and lower turns 25 ~ 0 ~ 30 ~ 0, the two eyes in these two directions with the original eye bit co-oblique or secondary co-oblique strabismus significantly different, was “ A ”or“ V ”letter named shape. May be called esotropia A or V and exotropia A or V sign. Internal and external strabismus V signs in the upper and lower turn 25 ~ 0 ~ 30 ~ 0, the internal and external strabismus and the performance of the original eye position inside and outside the strabismus difference of 15 ~ Δ (about 9 ~ 0); A sign To worse 10 ~ Δ (about 6 ~ 0) above, constitute a pathological who can surgery correction. If you think of it as a general level of co-transversal strabismus surgery, the effect is not ideal. A, V syndrome surgery methods, internal and external rectus surgery, upper and lower rectus muscle surgery, upper and lower oblique muscle surgery. From March 1980 to the end of 1982, our department with the above method to correct A, V syndrome in 20 cases. The report is as follows.