摘要
目的:临床上上斜肌麻痹最常见,本文分析上斜肌麻痹代偿头位的原因、机理和规律。方法:所有病例行常规眼科检查、眼肌检查,Bielschowsky头位倾斜试验以及同视机双眼视觉功能检查。结果:本文报告上斜肌麻痹代偿头位的发生率为40.7％,并且与发病的年龄及病程长短相关。有代偿头位者基本具有双眼视觉功能。无代偿头位者丧失双眼视觉功能。结论:上斜肌麻痹是否出现代偿头位取决于:(1)双眼视觉功能。(2)发病年龄。(3)病程长短。本文结果表明发病年龄较大(>3岁)且病程短、有Ⅰ度以上双眼视功能者容易出现代偿头位。发病年龄小(<3岁),无代偿头位者,均已丧失双眼视觉功能。因此应重视早期诊断,及时进行恢复双眼视觉功能的训练和治疗。眼科学报 1995;11:227—229。
Puropse: Superior oblique muscle paralysis is the most common disease in clinic. We analysed the cause , machanism and regularity of compensatory head posture in superior oblique muscle paralysis.
Methods: All of 27 cases with superior oblique muscle paralysis aere examined regularly, and special muscle, binocular single vision function with synoptophore examined, Bielschowsky test was made.
Results: In our cases, the incidence rate of compensatory head posture was 40.7%, which had relations with age when a patient had disease, period and function of binocular single vision.
Conclusion: The existance of binocular single vision function is the physiological bases leading to compensatory head posture, and the patients whose ages are older than 3 years and the course is less than 10 years may present the compensatory head posture. So we should pay attention to early diagnosis and training to restore the binocular single vision function. Eye Science 1995; 11 :227-229.
出处
《眼科学报》
1995年第4期227-229,共3页
Eye Science
关键词
眼肌麻痹
上斜肌麻痹
代偿头位
superior oblique muscle paralysis compensatory head posture binocular single vision function
