Horizontal rectus vertical transposition

The torticollis refers to an abnormal state in which the head and the neck are inclined to one side, and is usually caused by muscle contraction of the neck side (mainly sternocleidomastoid muscle) or cervical disease, neck inflammation, and eye muscle disease. The torticollis is divided into congenital and acquired, and is more common in congenital and muscular. The earlier the treatment, the better. Curing disease: Indication 1. Horizontal or vertical strabismus accompanied by ocular torticollis caused by squint strabismus. 2. Rotational strabismus cannot be completely corrected by surgery. Contraindications The horizontal rectus muscle has been post-migration or shortened. Surgical procedure 1. Incision of the limbus of the limbus, separating the fascia of the eyeball and exposing the end of the inner or outer muscle. 2. Make a set of loop sutures on each side of the muscle end with 6-0 absorbable sutures, and make half or one muscle width shift according to the degree of the orthopedic neck. If you have horizontal strabismus, you can complete the migration or shortening of the rectus muscle at the same time. The displaced muscle is sutured to the corresponding sclera, and the ends of the new attachment point should be equidistant from the limbus. 3. The lateral rectus muscle is displaced upward to correct the internal squint and the downward displacement to correct the external squint. 4. The medial rectus muscle is displaced upward to correct the external squint and shift downward to correct the internal squint. 5, the internal and external rectus muscles at the same time shifting the right outer rectus muscle down, the inner rectus muscle upward displacement can enhance the correction effect of external rotation; the left external rectus muscle upward and the inner rectus muscle downward displacement can strengthen the internal strabismus Corrective effect. 6, suture the ball conjunctiva.

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