Straatsma B R, Heckenlively J R, Foos R Y, Shahinian J K
Am J Ophthalmol. 1979 Sep;88(3 Pt 1):506-10. doi: 10.1016/0002-9394(79)90655-x.
Four patients had extensive unilateral myelinated nerve fibers associated with ipsilateral myopia, amblyopia, and strabismus. Their profound visual impairment, exotropia, and the early age onset of symptoms indicated that the amblyopia may have been organically caused. Prognosis is poor for even partial correction but good results have been obtained with intense therapy that includes full correction of the refractive error in each eye and extraocular muscle surgery if cosmetically necessary. In patients with axial myopia, images of a similar size will be produced by placing a lens of the correct power at the spectacle plane. In younger patients, a contact lens should not be used to correct the refractive error because it creates an undesirable anisometropia. Younger patients who have parafoveal fixation and no strabismus respond best to amblyopia therapy.
四名患者有广泛的单侧有髓神经纤维,伴有同侧近视、弱视和斜视。他们严重的视力损害、外斜视以及症状的早发表明弱视可能是器质性原因引起的。即使进行部分矫正,预后也很差,但通过强化治疗已取得良好效果,强化治疗包括完全矫正每只眼睛的屈光不正,必要时进行眼外肌手术以改善外观。在轴性近视患者中,通过在眼镜平面放置具有正确屈光度的镜片可产生大小相似的图像。对于较年轻的患者,不应使用隐形眼镜矫正屈光不正,因为这会产生不良的屈光参差。有旁中心凹注视且无斜视的较年轻患者对弱视治疗反应最佳。