NR 6/2003

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Wyniki leczenia operacyjnego zeza z nadczynnością mięśnia skośnego dolnego

The surgical results of correcting strabismus with inferior oblique hyperfunction

Alina Bakunowicz-Łazarczyk1, Beata Urban1, Joanna Łazarczyk2

1Z Kliniki Okulistyki Dziecięcej Akademii Medycznej w Białymstoku
2Ze Studenckiego Koła Naukowego przy Klinice Okulistyki Dziecięcej
Kierownik Kliniki: prof. dr hab. n. med. Alina Bakunowicz-Łazarczyk

Summary: Purpose: To evaluate the surgical results of correcting strabismus with inferior oblique hyperfunction.
Material and methods: A retrospective chart review of 40 patients, who underwent surgery from 1999-2001 was performed. 7 patients had isolated inferior oblique hyperfunction, 5 with hypertropia, 23 patients had esotropia with inferior oblique hyperfunction and 5 patients had exotropia with inferior oblique hyperfunction.
The recession of inferior oblique muscle was undergone in cases with inferior oblique hyperfunction, sometimes in hypertropia with anteposito. The recession-resection of rectus muscles with myotomy-tenotomy of inferior oblique muscle or his recession usually were perfomed in cases with coexisting esotropia or exotropia.
Results: In all cases eyes were acceptably aligned. The recession of inferior oblique muscle is the most effective method of operation in high oblique hyperfunction.
Słowa kluczowe:  zez, mięsień skośny dolny.
Key words: strabismus, inferior oblique hyperfunction.



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