Ciner E B, Herzberg C
Pennsylvania College of Optometry, Philadelphia 19141.
J Am Optom Assoc. 1992 Apr;63(4):266-71.
A 5-1/2 year old black female initially presenting with a moderate angle esotropia and latent hyperopia developed a large angle constant exotropia 2 years after final correction of her refractive error. The occurrence of consecutive exotropia as a result of optical correction of hyperopia has been documented infrequently in the ophthalmologic literature and has rarely been mentioned in the optometric literature. While the overall risk for occurrence of this complication from correction of hyperopia may be small, it is a problem which may occur and can be avoided. Unfortunately, there is only limited information about the various risk factors that should be monitored to avoid the occurrence of an optically induced consecutive exotropia. What is available with regard to evaluation and management is scant, and there are no case reports emphasizing optometric management which includes the use of lenses, occlusion and vision therapy. The purpose of this paper is to present a case report of optically induced consecutive exotropia followed by a summary of the available information from the optometric and ophthalmologic literature. This combined information will aid optometrists managing these patients to avoid the occurrence of this problem and better understand the various management aspects when it does occur.
一名5岁半的黑人女性最初表现为中度内斜视和潜在远视，在屈光不正最终矫正两年后发展为大角度恒定性外斜视。远视光学矫正导致连续性外斜视的情况在眼科文献中鲜有记载，在验光文献中也很少被提及。虽然远视矫正引发这种并发症的总体风险可能较小，但这是一个可能发生且可以避免的问题。不幸的是，关于为避免光学诱导性连续性外斜视的发生而应监测的各种风险因素的信息有限。现有的关于评估和管理的信息很少，而且没有病例报告强调包括使用镜片、遮盖和视觉治疗在内的验光管理。本文的目的是呈现一例光学诱导性连续性外斜视的病例报告，随后总结验光和眼科文献中的现有信息。这些综合信息将帮助管理这些患者的验光师避免出现这个问题，并在问题发生时更好地理解各种管理方面。
