Congenital superior oblique palsy Analysis.docVIP

 PAGE \* MERGEFORMAT 15 Congenital superior oblique palsy Analysis 【Abstract】 Objective: To investigate the congenital superior oblique palsy treatment. Methods: 39 patients admitted to hospital 2004-10/2005-02 congenital superior oblique palsy, according to suffer from eye level of the inferior oblique hyperfunction and the vertical gradient of the size of choice after the resettlement inferior oblique, inferior oblique cut and partially removed, before the transposition of inferior oblique muscle, or joint contralateral eye superior rectus, inferior rectus muscle surgery. Results: The cure in 28 cases (72%), improved in 10 cases (26%), ineffective in 1 (2%). Conclusion: The congenital superior oblique palsy by weakened muscles and their spouses directly antagonistic muscles, strengthen muscles and paralysis of the principle of an indirect antagonist, in patients with inferior oblique hyperfunction according to the extent and degree of vertical strabismus size of different surgical options available to good results. Keywords: Congenital superior oblique palsy strabismus surgery extraocular muscle 0 Introduction Congenital superior oblique palsy is a paralysis of the most common type of strabismus, monocular more common, and many more compensatory head position in the first consultation. Without timely treatment at an early age, will be induced by face, neck, upper chest and spinal deformities. 2004-10/2005-02 now admitted to our hospital 39 cases of surgical treatment of congenital superior oblique palsy cases reported as follows. An object and method 1.1 Object Changzhou City Hospital of Integrated Chinese and Western Medicine 2004-10/2005-02 admitted patients with congenital superior oblique palsy, 39 patients were male and 23 cases, female 16 cases. Treatment of age 3 to 18 (mean 6.7) years of age; monocular incidence of 36 cases, three cases of eye disease; purely on 9 cases of strabismus, there were 35 cases of c