Sugumaran Hema K, Pappas John G, Kodsi Sylvia R
Department of Ophthalmology, North Shore-Long Island Jewish Health System, Great Neck, New York, USA.
J AAPOS. 2011 Dec;15(6):593-4. doi: 10.1016/j.jaapos.2011.07.015.
A 5-year-old girl with Noonan-neurofibromatosis syndrome was diagnosed with bilateral superior oblique palsy. At surgery, the right superior oblique tendon was absent, and further exploration revealed abnormal tissue inserting into Tenon's capsule. Orbital imaging was not performed. Congenital absence of the superior oblique tendon was diagnosed. Although Noonan syndrome is known to have many ocular manifestations, absence of the superior oblique tendon has not been previously reported.
一名患有努南-神经纤维瘤病综合征的5岁女孩被诊断为双侧上斜肌麻痹。手术中，右侧上斜肌腱缺失，进一步探查发现有异常组织插入眼球筋膜囊。未进行眼眶成像检查。诊断为先天性上斜肌腱缺失。尽管已知努南综合征有许多眼部表现，但上斜肌腱缺失此前尚未见报道。
