RESUMO
Presentamos nuestra experiencia en el tratamiento quirúrgico de 16 casos de estrabismo con compromiso de los oblicuos. Las conductas quirúrgicas adoptadas fueron: debilitamiento del OI homolateral por miectomía y del RI contralateral por reseción en los casos de estrabismo con parálisis del OS; el retroceso del OS en la hiperfunción de éste músculo; la miectomía, miotomía y zetoplastía en la hiperfunción del OI; y por último la retroposición del OS homolateral y la resección del RS contralateral en la parálisis del OI.
Our experience in the surgical treatment of 16 cases of strabismus due to involvement of the oblique muscules is presented. The surgical procedure carried out were: weakening of the ipsilateral lower oblique muscle by myectomy and resection of the contralateral right lower muscle in the cases of strabismus with upper oblique palsy. Backward displacement the upper oblique was performed in the hyperfuntion of this muscle. Myectomy, myotomy and zetoplasty were done in hiperfuntion of the lower oblique. Lasly retroposition of the ipsilateral upper oblique and resection of the lower oblique palsy was done in cases of lower oblique palsy.
Assuntos
Masculino , Feminino , Humanos , Pré-Escolar , Criança , Adolescente , Adulto Jovem , Adulto , Estrabismo/cirurgia , Estrabismo/terapia , Transtornos da Motilidade Ocular/cirurgia , Transtornos da Motilidade Ocular/terapia , PeruRESUMO
Angiofluoroscopy was carried out in 14 patients suffering from diabetes mellitus and treated at the General Hospital Honorio Delgado, of Arequipa, Perú. This procedure allowed an early diagnosis of diabetic rethinopathy in 2 patients and detected abnormal intervals of the early arterio-venous phase in the remaining. It is of great help to the diagnosis of retinal disturbance, specially of the posterior, and its use is encouraged in ophthalmologic centers with limited technological resources.