Departments of Ophthalmology and Visual Sciences, University of Michigan Medical School, Ann Arbor, MI, USA.
J Neuroophthalmol. 2012 Jun;32(2):148-9. doi: 10.1097/WNO.0b013e318241d4b5.
A 7-year-old boy who complained of blurred reading vision was found on ophthalmologic examination to have subnormal distance visual acuity in both eyes and a hyperopic refractive error that was deemed too small to explain his symptoms. Within days, he developed speech and gait deficits that led to a diagnosis of Guillain-Barré syndrome (GBS). Inpatient examination confirmed a profound binocular loss of accommodation with preservation of iris sphincter function and eye movements. This is only the second detailed report of accommodative loss with sparing of the pupil as the initial clinical manifestation of GBS.
一位 7 岁男孩因阅读视力模糊而就诊，眼科检查发现双眼远距视力低于正常水平，远视屈光不正程度过小，无法解释其症状。几天后，他出现言语和步态障碍，导致吉兰-巴雷综合征（GBS）的诊断。住院检查证实双眼调节深度丧失，但虹膜括约肌功能和眼球运动正常。这是第二份详细报告，描述了以瞳孔正常为初始临床表现的 GBS 患者的调节功能丧失。
