Tamura E E, Hoyt C S
Arch Ophthalmol. 1987 Apr;105(4):533-5. doi: 10.1001/archopht.1987.01060040103043.
We report the ocular findings in 11 preterm infants who sustained intraventricular hemorrhages. The defects were similar to those in adults who suffer from hypertensive thalamic hemorrhages. All 11 infants showed tonic downward and esotropic deviations of their eyes. Upgaze response could not be elicited in any of the infants. Although the role of secondary hydrocephalus cannot be discounted, we conclude that the direct effect of the hemorrhage on thalamic and mesencephalic structures is essential in the production of these oculomotor deficits. The prognosis for recovery of the upgaze palsy in these patients is good, although the time course may vary. However, the large-angle esotropia usually persists and requires surgical correction.
我们报告了11例发生脑室内出血的早产儿的眼部检查结果。这些缺陷与患有高血压性丘脑出血的成年人相似。所有11例婴儿均表现出眼球强直性向下和内斜视偏差。所有婴儿均无法引出上视反应。虽然继发性脑积水的作用不能忽视，但我们得出结论，出血对丘脑和中脑结构的直接影响对于这些眼球运动障碍的产生至关重要。这些患者上视麻痹的恢复预后良好，尽管病程可能有所不同。然而，大角度内斜视通常持续存在，需要手术矫正。
