Advance on the application and progress of modified Nishida procedure for transposition of strabismus

doi:10.3877/cma.j.issn.2095-2007.2021.05.010

Abstract

Abstract:

Vertical rectus muscle transposition (VRT) is usually used to correct patients with paralytic strabismus. There are many surgical methods, including Hummelsheim, Jensens, Foster, and Nishida. Each has its advantages and disadvantages. Among them, the modified Nishida procedure is of great benefit to reduce the risk of postoperative anterior segment ischemia because of non-cuting the muscles. Therefore, it is widely used in the treatment of eye movement disorders caused by various diseases. The insufficient upward rotation of the eye (congenital double superior transposition palsy), insufficient extraocular rotation (abducens nerve palsy, Duane syndrome type Ⅰ), insufficient intraocular rotation (congenital rectus absence, rectus transection after endoscopic sinus surgery), insufficient eyeball downturns (inferior rectus palsy caused by various reasons, and congenital inferior rectus dysplasia) were reviewed in this paper.

Key words: Vertical rectus muscle transposition, Modified Nishida, Abducens palsy, Duane syndrome type Ⅰ, Congenital medial rectus absence, Medial rectus transection, Inferior rectus paralysis, Inferior rectus muscle aplasia

Mengmeng Cui, Junhong Li, Zhangqing Feng. Advance on the application and progress of modified Nishida procedure for transposition of strabismus[J]. Chinese Journal of Ophthalmologic Medicine(Electronic Edition), 2021, 11(05): 306-310.

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