双侧上斜肌麻痹(4)
三、临床治疗
根据麻痹的程度是否对称主进行下斜肌减弱或/和上斜肌加强术，如仍不能矫正，需进行垂直直肌手术。例如双侧不对称性，可能需行五条肌肉手术。隐蔽型，允许先行一侧的下斜肌减弱或/和上斜肌加强，另眼麻痹的首要信号时下斜肌功能过强的发生，发生时间早晚有很大差异，从5天~11个月不等。
参考文献
1. William E. Scott and Stephen P. Kraft. Pediatric Ophalmology and Strabismus. Transactionsof the New Orleans Academy of Ophthalmology. Raven Press, New York 1986.
2. Von Noorden GK. Binocular Vision and Ocular Motility. The C. V. Mosby Company 1990.
3. M. Edward Wilson, MD, and Judith Hoxie, CO. Facial Asymmetry in Superior Oblique Muscle Palsy. J Pediatr. Ophthalmol Strabismus 1993; 30:315-318.
4. Helveston EM, et al. Surgicle Treatment of superior Oblique Palsy. Trans Am Ophthalmol Soc 1996; 94:315-28; discussion 328-34., 百拇医药(刘桂香)
根据麻痹的程度是否对称主进行下斜肌减弱或/和上斜肌加强术，如仍不能矫正，需进行垂直直肌手术。例如双侧不对称性，可能需行五条肌肉手术。隐蔽型，允许先行一侧的下斜肌减弱或/和上斜肌加强，另眼麻痹的首要信号时下斜肌功能过强的发生，发生时间早晚有很大差异，从5天~11个月不等。
参考文献
1. William E. Scott and Stephen P. Kraft. Pediatric Ophalmology and Strabismus. Transactionsof the New Orleans Academy of Ophthalmology. Raven Press, New York 1986.
2. Von Noorden GK. Binocular Vision and Ocular Motility. The C. V. Mosby Company 1990.
3. M. Edward Wilson, MD, and Judith Hoxie, CO. Facial Asymmetry in Superior Oblique Muscle Palsy. J Pediatr. Ophthalmol Strabismus 1993; 30:315-318.
4. Helveston EM, et al. Surgicle Treatment of superior Oblique Palsy. Trans Am Ophthalmol Soc 1996; 94:315-28; discussion 328-34., 百拇医药(刘桂香)