How to do ophthalmoplegia strabismus surgery

summary

Ophthalmoplegia strabismus is mainly divided into extraocular muscle paralysis and extraocular muscle injury, and has hereditary, surgery is a better treatment for this disease. Let's take a look at how to do ophthalmoplegia strabismus surgery.

How to do ophthalmoplegia strabismus surgery

First of all, it is mainly used in the cases of congenital paralytic strabismus, old extraocular muscle paralysis and recent extraocular muscle paralysis, which are invalid after non-surgical treatment, but the timing and principle of operation should be paid attention to.

Secondly: operation principle: the general principle of surgical correction of paralytic strabismus is: ① strengthen paralytic muscle, mainly for incomplete paralysis; ② weaken antagonistic muscle, mainly for cases with antagonistic muscle spasm; ③ weaken spouse muscle, mainly for cases with spouse muscle function is too strong; ④ strengthen indirect antagonistic muscle. The above-mentioned surgical correction methods should be selected and applied according to the specific situation of patients, and one or more of them can be selected.

Finally: the operation principles of different types of extraocular muscle paralysis are as follows: ① in vertical muscle paralysis, if the secondary changes are obvious, it is mainly to weaken the function of direct antagonistic muscle or spouse muscle; ② in inferior oblique muscle paralysis, it can weaken the spouse muscle of healthy eye (superior rectus muscle of healthy eye) and (or) shorten the rectus muscle of healthy eye; ③ When the superior oblique muscle is paralyzed, the inferior oblique muscle on the same side should be weakened first. If there is still superior strabismus after the operation, the superior oblique muscle folding or recession of the rectus muscle should be performed;

matters needing attention

Paralytic strabismus is divided into congenital and postnatal, congenital paralytic strabismus need early surgical treatment, acquired paralytic strabismus need to find out the cause of disease, symptomatic treatment, so as to obtain good results, conservative treatment invalid, can consider surgical treatment.