Thomas A H
University of Arkansas for Medical Sciences, Little Rock, Arkansas, USA.
J AAPOS. 2000 Dec;4(6):359-61. doi: 10.1067/mpa.2000.111783.
Divergence insufficiency is an unusual form of strabismus with esotropia and diplopia only at distance and single binocular vision at near. This retrospective case series describes the diagnosis and treatment of 7 patients and differentiates this clinical entity from other conditions.
Seven healthy patients aged 9 to 41 years who developed acquired esotropia only at distance were treated with unilateral or bilateral medical rectus recession.
All patients had resolution of diplopia, although one patient initially treated with unilateral medial rectus recession required a second recession of the other medial rectus muscle.
Divergence insufficiency is a distinct clinical entity in otherwise healthy patients, which can be successfully treated by unilateral or bilateral medial rectus recession.
散开不足是一种不常见的斜视形式，仅在远距离时出现内斜视和复视，近距离时双眼单视正常。本回顾性病例系列描述了7例患者的诊断和治疗，并将这一临床实体与其他疾病相鉴别。
7例年龄在9至41岁之间、仅在远距离出现后天性内斜视的健康患者接受了单侧或双侧内直肌后徙术治疗。
所有患者的复视均消失，尽管1例最初接受单侧内直肌后徙术治疗的患者需要对另一侧内直肌进行第二次后徙术。
散开不足在其他方面健康的患者中是一种独特的临床实体，可通过单侧或双侧内直肌后徙术成功治疗。
