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《Journal of Sun Yat-sen University (Medical Sciences)》 2005-01
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Ocular Torsion of V Patterns Strabismus

YU Xin-ping, MAI Guang-huan, YU Huan-yun, DENG Da-ming, LIN Xiao-ming, CHEN Jing-chang, WU He-ping(Zhongshan Ophthalmic Center, SUN Yat-sen University, Guangzhou, 510060, China)  
To investigate the ocular torsion of V patterns strabismus. Twenty-two V patterns strabismus patients underwent bilateral inferior oblique muscles myectomy for inferior oblique overacting and horizon recti recess-resection procedure to correct horizontal deviation. Objective cycloposition was assessed by fundus photograph before and 7 days after surgery in all cases. The fovea-disc angle was measured by photo editing software. Symptoms such as deviation, ocular movement, and inferior oblique muscle function were also assessed before and after surgery. Seventeen cases were bilateral ocular excyclotropia, 4 cases were monocular excyclotropia and 1 case was normal. The pre-operative fovea-disc angle of right eyes and left eyes were (15.67±5.72)° and (16.59±6.69)°, respectively; there were statistically significant differences among V patterns and normal average (P﹤0.001). The fovea-disc angle of right eyes and left eyes after operation were (5.24±5.87)° and (7.17±5.40)°, respectively; there were no statistical difference in the fovea-disc angles between normal subjects and the postoperative patients (P﹥0.5). The deviations between up- and down 250 were (23.1±6.8)△ and (2.0±2.25)△ before surgery and 7 days after surgery. All cases had bilateral inferior oblique overaction before surgery, and returned to normal 7 days after surgery except one case still had unilateral mild overaction.[Conclusion] There is objective cyclotropia in V patterns strabismus. The objective cycloposition is normal after weakening overacted inferior oblique muscles.
【Fund】: 广东省科技攻关基金资助项目(97042)
【CateGory Index】: R777.44
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