双侧先天性固定性内斜视：一例报告。
Bilateral congenital hypertropic strabismus fixus: A case report.
作者信息
Li Qingji, Zhou Feng, Lu Yingying
机构信息
Department of Strabismus and Oculoplasty, Tianjin Aier Eye Hospital, Tianjin, China.
出版信息
Eur J Ophthalmol. 2022 May;32(3):NP10-NP13. doi: 10.1177/1120672120986367. Epub 2021 Jan 7.
PURPOSE
To report an unusual and rare case of both eyes fixed in an extreme superomedial position.
CASE REPORT
A case of 48-year-old woman presented with both eyes fixed in an extreme superomedial position; the microcorneas were covered almost completely by the upper eyelids even when she opened her eyes. A forced duction test was performed to confirm there were severe restrictions in all directions. She underwent disinsertion of the superior and medial rectus muscle, inferior oblique muscle belly transposition and sclera fixation. At the 1-year follow-up, there was improved ocular alignment.
CONCLUSION
This case may be a special form of myopic strabismus fixus. The infratemporal fossa may be a bony landmark related to the etiology of global fixation.
目的
报告一例双眼固定于极端内上位置的罕见病例。
病例报告
一名48岁女性患者，双眼固定于极端内上位置；即使她睁开眼睛，微小角膜也几乎完全被上睑覆盖。进行了强制牵拉试验以确认在各个方向均存在严重受限。她接受了上直肌和内直肌断腱、下斜肌肌腹转位和巩膜固定术。在1年的随访中，眼位得到改善。
结论
该病例可能是近视性固定性斜视的一种特殊形式。颞下窝可能是与全眼球固定病因相关的一个骨性标志。
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