间歇性外斜视术后患者使用 0.01%阿托品滴眼液引起的会聚过度性连续内斜视。

Department of Pediatric Refractive Errors, Jyotirmay Eye Clinic for Children and Adult Squint and Ocular Motility Laboratory, Thane; Department of Pediatric Ophthalmology, Mahatme Eye Hospital, Nagpur, Maharashtra, India.

Department of Pediatric Refractive Errors, Jyotirmay Eye Clinic for Children and Adult Squint and Ocular Motility Laboratory, Thane, Maharashtra, India.

Indian J Ophthalmol. 2020 Apr;68(4):653-656. doi: 10.4103/ijo.IJO_1243_19.

To report convergence excess esotropia (CEET) following 0.01% atropine eye drops (Low dose atropine [LDA]). Children who developed CEET that resolved promptly after discontinuation of LDA are described. Three myopes aged 5.3 ± 1.2 years and mean sphere -4.5D were included. All were operated for intermittent exotropia earlier. Mean esotropia was +28.3PD for near and 10.6PD for distance. LDA induced high AC/A ratio and fusion normalized in 3 weeks after discontinuation of LDA. LDA should be used with caution in patients with esophoria or previously operated for intermittent exotropia. Any evidence of the emergence of a CEET should warrant discontinuation of LDA.

报告阿托品眼用制剂（低浓度阿托品）滴眼后出现集合过强性内斜视（CEET）。描述了停用低浓度阿托品后迅速消退的 CEET 患儿。纳入 3 名 5.3±1.2 岁的近视患者，平均球镜-4.5D。所有患者之前均行间歇性外斜视手术。近距斜视 28.3PD，远距斜视 10.6PD。低浓度阿托品滴眼后，AC/A 比值升高，3 周后融合恢复正常。对于内斜视或曾行间歇性外斜视手术的患者，应谨慎使用低浓度阿托品。任何 CEET 出现的迹象都应停用低浓度阿托品。