Bixenman W W, Joffe L
J Pediatr Ophthalmol Strabismus. 1984 Nov-Dec;21(6):215-9. doi: 10.3928/0191-3913-19841101-04.
Four patients with retinal wrinkling and epiretinal membrane formation presented with a unique clinical syndrome consisting of comitant, small angle hyperdeviations with intractable vertical diplopia, and unstable single vision with a failure to respond to conventional prism therapy. The pathophysiology underlying this presentation appears to be the establishment of a rivalry between central and peripheral fusional mechanisms due to mechanical macular distortion.
四名患有视网膜皱襞和视网膜前膜形成的患者表现出一种独特的临床综合征,包括共同性小角度上斜视伴难治性垂直复视,以及单眼视力不稳定且对传统棱镜治疗无反应。这种表现背后的病理生理学似乎是由于黄斑机械性扭曲导致中央和周边融合机制之间形成了竞争。