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[眼球斜颈是一项诊断和手术难题]

[Ocular torticollis is a diagnostic and surgical challenge].

作者信息

Hofsli Mikael, Vinding Troels, Sandfeld Lisbeth, Hesgaard Helena Buch

出版信息

Ugeskr Laeger. 2019 Sep 23;181(39).

Abstract

Torticollis is an abnormal head posture caused by ocular or non-ocular factors. Ocular torticollis (OT) is a compensatory head posture adopted to avoid double vision or dampen nystagmus. In this review, we argue, that causes for OT comprise a wide range of congenital or acquired ocular conditions. These patients are at risk of being mis-cat-egorised as having non-ocular torticollis, which may delay treatment and cause amblyopia in children. OT can be symptomatically relieved by prismatic correction incorporated in the patient's glasses or treated by strabismus surgery, which also improve ocular motility.

摘要

斜颈是由眼部或非眼部因素引起的异常头部姿势。眼性斜颈(OT)是一种为避免复视或减轻眼球震颤而采取的代偿性头部姿势。在本综述中,我们认为,OT的病因包括广泛的先天性或后天性眼部疾病。这些患者有被误诊为非眼性斜颈的风险,这可能会延误治疗并导致儿童弱视。OT可以通过患者眼镜中加入的棱镜矫正来缓解症状,也可以通过斜视手术来治疗,这也能改善眼球运动。

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