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目的介绍下斜肌前转位术后引起的抗上转综合征。方法收集抗上转综合征患者6例,年龄2~13岁,垂直斜度10△～25△,患者行下斜肌前转位术,随访时间3个月～3年。另外2例为外伤性垂直性斜视,健眼行下斜肌前转位术。结果6例患者术后眼位及头位明显改善,但均伴有不同程度的上转受限,而外伤后2例上转受限的患者,利用这一综合征,行健眼下斜肌前转位术,引起健眼上转轻度受限,达到双眼肌力平衡的目的。结论下斜肌前转位术确实可引起抗上转综合征,实施时应注意选择适应症。
Objective To introduce the anti-convulsive syndrome caused by anterior oblique oblique transposition. Methods Six patients with anti-upturn syndrome were collected, ranging in age from 2 to 13 years. The vertical gradient was 10 ~ 25. The patients underwent transposition of the anterior oblique muscle. The patients were followed up for 3 months to 3 years. The other 2 cases of traumatic vertical strabismus, eye health line oblique anterior transposition surgery. Results The postoperative ocular and head position of 6 patients were significantly improved, but all of them were accompanied by varying degrees of up-transfer limitation. However, in the 2 patients with upper-limit transfer after trauma, Transposition surgery, causing mild eye health transfer limited, to achieve the purpose of balancing eyes. Conclusion Lower oblique anterior transposition surgery can indeed lead to anti-turning syndrome, the implementation should pay attention to choose indications.