CAJ | 학술논문

目的探讨垂直分离性斜视(DVD)手术方法及效果.方法选取2009年6月至2010年12月经手术治疗的26例3～21岁垂直分离性斜视病人作回顾性研究,术后随访观察12～18月.结果术后眼位21例正位；DVD18例效果满意,4例效果良好,4例病人注视眼遮盖后依然出现上飘.下斜肌功能过强全部矫正,9例双眼视改善.结论依据下斜肌功能分级进行下斜肌切断或下斜肌部分切除治疗合并下斜肌功能过强DVD病人既减弱下斜肌功能又有效治疗DVD；根据眼外肌功能情况选择手术方式是DVD手术治疗的有效方法.
목적 탐토수직분리성사시(DVD)수술방법급효과.방법 선취2009년6월지2010년12월경수술치료적26례3～21세수직분리성사시병인작회고성연구,술후수방관찰12～18월.결과 술후안위21례정위；DVD18례효과만의,4례효과량호,4례병인주시안차개후의연출현상표.하사기공능과강전부교정,9례쌍안시개선.결론 의거하사기공능분급진행하사기절단혹하사기부분절제치료합병하사기공능과강DVD병인기감약하사기공능우유효치료DVD；근거안외기공능정황선택수술방식시DVD수술치료적유효방법.
Objective To investigate the surgical methods and efficacy of DVD.Methods From June 2009 to December 2010 menstrual treatment of 26 cases of 3～21 years old operation dissociate vertical strabismus (DVD) patients were studied retrospectively,observation of 12-18 months follow-up after operation.Results Postoperative eye 21 cases; the effect of DVD 18 patients were satisfied,4 cases good effect,4 patients were fixating eye cover was still floating.Inferior oblique overaction were corrected,9 cases of binocular vision improved.Conclusions Of inferior oblique cut or partial excision of the inferior oblique muscle combined with inferior oblique function strong DVD patient is weakening of the inferior oblique muscle function and is effective in the treatment of DVD on the basis of inferior oblique muscle function classification; according to the extraocular muscle function choose the operation mode is an effective method for treatment of DVD operation.