Williams A S, Hoyt C S
Department of Ophthalmology, University of California, San Francisco 94143.
Arch Ophthalmol. 1989 Mar;107(3):376-8. doi: 10.1001/archopht.1989.01070010386029.
If acute onset of esotropia is comitant, its cause is generally believed to be benign. Although this is, by and large, true, it is now clear that acute comitant esotropia may be associated infrequently with central nervous system illness. We describe six children who presented with acute onset of comitant esotropia, and who were found to have tumors of the brain stem or cerebellum. Four of the patients underwent strabismus surgery after appropriate neurologic and neurosurgical treatment was completed. In none of these patients was ocular motor fusion reestablished.
如果急性内斜视是共同性的,其病因通常被认为是良性的。虽然大体上确实如此,但现在很清楚,急性共同性内斜视可能很少与中枢神经系统疾病相关。我们描述了6例急性共同性内斜视患儿,他们被发现患有脑干或小脑肿瘤。4例患者在完成适当的神经科和神经外科治疗后接受了斜视手术。这些患者均未重新建立眼球运动融合。