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[先天性单侧下斜肌功能亢进综合征:临床-发病机制变体]

[The syndrome of congenital unilateral hyperfunction of the inferior oblique muscle: clinico-pathogenetic variants].

作者信息

Kalachev I I, Mozherenkov V P, Filimonova N M

出版信息

Oftalmol Zh. 1990(4):206-9.

PMID:2255496
Abstract

Examination of 21 children with unilateral congenital paresis of superior oblique muscle and of 50 children with unilateral hyperfunction of inferior oblique muscle has shown that both forms of early squint have a picture of the same syndrome of oblique muscles disfunction as a primary congenital defect of muscular balance. A constant sign of the syndrome is unilateral hypertropia of adduction, disappearing or sharply reducing in abduction of the upward deviated eye, as well as horizontal squint of a convergent type, more frequently esotropia, nonaccommodative or partially accommodative, accompanied by a V-sign. It is proposed to name this syndrome as "syndrome of congenital unilateral hyperfunction of inferior oblique muscle".

摘要

对21例先天性单侧上斜肌麻痹患儿和50例先天性单侧下斜肌功能亢进患儿的检查表明,这两种早期斜视形式都呈现出斜肌功能障碍综合征的相同表现,作为肌肉平衡的原发性先天性缺陷。该综合征的一个恒定体征是内收时单侧上斜视,在向上偏斜眼外展时消失或明显减轻,以及会聚型水平斜视,更常见的是内斜视,非调节性或部分调节性,伴有V征。建议将该综合征命名为“先天性单侧下斜肌功能亢进综合征”。

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