Phillips Paul H
Department of Ophthalmology, University of Arkansas Medical Center, Arkansas Children's Hospital, Little Rock, Arkansas 72202, USA.
Semin Neurol. 2007 Jul;27(3):288-98. doi: 10.1055/s-2007-979680.
Binocular diplopia occurs from misalignment of the eyes. The fixation object is imaged onto the fovea of one eye and a nonfoveal region of the misaligned eye, creating diplopia. Treatment options include ocular occlusion, monovision optical correction, prism glasses, strabismus surgery, and chemodenervation. Ocular occlusion and monovision optical correction enable the patient to ignore the image from the misaligned eye. Prism glasses alter the light pathways so that the fixation object is imaged onto the fovea of both eyes, despite ocular misalignment. Strabismus surgery and chemodenervation attempt to restore ocular alignment. This article reviews the mechanisms and indications for each of these treatment options for patients with diplopia.
双眼复视由双眼眼位不正引起。注视物体成像于一只眼的中央凹和眼位不正眼的非中央凹区域，从而产生复视。治疗选择包括眼遮盖、单眼视光学矫正、棱镜眼镜、斜视手术和化学去神经支配。眼遮盖和单眼视光学矫正可使患者忽略来自眼位不正眼的图像。棱镜眼镜改变光路，使注视物体尽管存在眼位不正仍能成像于双眼的中央凹。斜视手术和化学去神经支配试图恢复眼位。本文综述了这些针对复视患者的治疗选择的机制和适应证。
