superior oblique muscle suspension

The superior oblique muscle suspension surgery is applicable to: 1. The preferred procedure for patients with upper oblique strabismus or weak inferior oblique muscles or weak lower rectus muscles and type A strabismus with superior oblique muscles. 2. Brown syndrome. Treatment of diseases: bilateral oblique palsy Indication The superior oblique muscle suspension surgery is applicable to: 1. The preferred procedure for patients with upper oblique strabismus or weak inferior oblique muscles or weak lower rectus muscles and type A strabismus with superior oblique muscles. 2. Brown syndrome. Contraindications A strabismus in which the rectus muscle is weak or the inferior rectus muscle is strong or the other oblique muscle of the eye is weak. Surgical procedure 1. Perform a conjunctival incision that exposes the superior oblique muscle tendon, and separate and expose the superior oblique and superior rectus muscles. 2. Pull the superior rectus muscle down with a squint hook or suture, pull the conjunctiva to the temporal side with another squint hook, and separate the surrounding fascia and intermuscular membrane on the lateral side of the superior rectus muscle to expose the oblique Muscle attachment point. The superior oblique muscle tendon was hooked with a squint hook, and a 6-0 nylon thread or absorbable suture was used at 1.5 mm behind the end of the tendon to make a loop pre-stitch. 3. Cut the superior oblique muscle from the end of the tendon, then pass the preset suture through the attachment point, pull the superior oblique muscle to the desired migration point, and ligature the suture.

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