von Noorden G K
Ophthalmology. 1979 Aug;86(8):1451-61. doi: 10.1016/s0161-6420(79)35376-3.
Cyclodeviations differ from other strabismus forms in several aspects. Adaptive mechanisms other than suppression cause the patient to remain asymptomatic in spite of ophthalmoscopically demonstrable torsion of the globe around the sagittal axis. These mechanisms include cyclofusion and a monocular sensory adaptation causing the images seen by the paretic eye to appear vertically and horizontally aligned even though they do not fall on the vertical and horizontal anatomic-geometric retinal meridians. Pure excyclotropias, ie, those not associated with vertical deviations, respond well to anterior and lateral displacement of the anterior portion of the superior oblique tendon. The operation eliminated the cyclodeviation in four eyes (three patients); however, a partial recurrence was observed in one case.
旋转斜视在几个方面与其他斜视形式不同。除了抑制之外的适应性机制使患者尽管在检眼镜下可显示眼球围绕矢状轴发生扭转，但仍保持无症状。这些机制包括旋转融合和单眼感觉适应，导致麻痹眼所看到的图像即使未落在垂直和水平的解剖几何视网膜子午线上，也能在垂直和水平方向上看起来对齐。单纯外旋转斜视，即那些不伴有垂直斜视的斜视，对上斜肌腱前部的前后和侧向移位反应良好。该手术使4只眼（3例患者）的旋转斜视消失；然而，1例出现了部分复发。
