superior oblique muscle fold

Ankle resection, scapular or posterior migration can be used to effectively attenuate the superior oblique muscle function. The tendon sheath and the attached fascia should be destroyed as little as possible during surgery. Treatment of diseases: upper oblique palsy, upper oblique oblique tendon sheath syndrome Indication Adapt to any obvious secondary or primary oblique hyperthyroidism. Contraindications 1. Suffering from ocular strabismus in the lower part of the lower rectus muscle or upper rectus muscle or weak in the other side of the oblique muscle. 2. Unexplained upper oblique palsy. Surgical procedure 1. In the supraorbital quadrant, starting from the lateral edge of the superior rectus tendon, make a conjunctival incision parallel to the limbus, about 5 ~ 8mm long, through the conjunctiva, eyeball fascia and intermuscular membrane. Hook the two strabismus hooks to the upper rectus muscle attachment point and the incision posterior lip, expose the tendon at the attachment of the oblique muscle, and use the strabismus hook to hook the upper oblique muscle spasm from the upper rectus muscle, and replace the squint hook with the slanting hook. muscle. 2. At present, it is not possible to determine the amount of folding for each case, but it is better to do more than to do less. The greater the vertical deflection, the greater the amount of folding required for the superior oblique muscle tendon to relax. Generally folded 12mm. After folding a certain number of superior oblique muscles, the sutures are placed and ligated on both sides of the folded muscles to withdraw the folder. 3. Squeeze the tip of the folding muscle along the direction of the muscle, and sew it on the superficial sclera, where the sclera is thin, so be careful not to wear the eyeball. In addition, when the rectus muscle is hooked and the superior oblique muscle is exposed, the operation must be very light and does not allow rough movements, since adhesion is particularly likely to occur there. 4. Suture the conjunctival incision. Postoperative diet The nutrition should be balanced, and the vegetarian diet should be accompanied by vegetables, fruits, meat, egg milk, etc. The intake is determined by the fatness of the person.