Smith J L, Flynn J T, Spiro H J
J Clin Neuroophthalmol. 1982 Jun;2(2):85-91.
The Heimann-Bielschowsky phenomenon is an unusual ocular motility pattern which may develop years following uniocular visual loss and may be mistaken as a neuro-ophthalmologic sign pointing to a posterior fossa or brain stem lesion. It consists of strictly monocular coarse, pendular vertical oscillations occurring only in the amblyopic eye. It is noted primarily with distance fixation and is inhibited by convergence or fixation. The oscillations vary between 1-5 cycles/second, and amplitude, often only 2-5 degrees, may be quite large, up to 20-30 degrees (40-60 prism diopters). A faden operation improved the disorder in one patient. The importance of recognizing this characteristic motility pattern is emphasized to ophthalmologists and neurologists.
海曼-比尔绍斯基现象是一种不寻常的眼球运动模式，可能在单眼视力丧失数年之后出现，且可能被误诊为提示后颅窝或脑干病变的神经眼科体征。它表现为仅在弱视眼中出现的严格单眼性、粗大的钟摆样垂直摆动。主要在远距离注视时被注意到，并可通过集合或注视而受到抑制。摆动频率在1-5个周期/秒之间变化，幅度通常仅2-5度，但可能相当大，可达20-30度（40-60棱镜度）。一例患者经睑缘缝合手术改善了这种异常。强调眼科医生和神经科医生认识这种特征性眼球运动模式的重要性。
