Krzystkowa K M, Mühlendyck H
Pracowni Patofizjologii Widzenia i Neurookulistyki przy Katedrze Okulistyki Collegium Medicum Uniwersytetu Jagiellońskiego.
Klin Oczna. 1995 May;97(5):136-9.
The authors present methods of operation performed in different types of congenital nystagmus in which the amplitude and frequency of nystagmus vary in different positions of gaze. In many cases, a "neutral zone" exists in which the nystagmus is less pronounced or may even be absent. If the "neutral zone" is in the primary position of gaze, then the head position may be normal. If the neutral zone is in another position of gaze, then the patient may assume compensatory head position (CHP) to achieve optimal visual acuity. Methods of surgical treatment in these case are presented. The indications are based on measurement of compensatory head position or on amplitude of convergence in nystagmus blockage syndrome. The elimination of CHP is possible by the Anderson procedure or, in more advanced cases, by the Kestenbaum procedure and/or the artificial divergence procedure of Cüppers. Sometimes Cüppers procedure alone or in combination with recession of the muscles is indicated. Our own material and results of surgical treatment are presented in the next paper.
作者介绍了针对不同类型先天性眼球震颤所施行的手术方法，这些类型的先天性眼球震颤在不同注视位置时其震颤幅度和频率会有所变化。在许多病例中，存在一个“中和带”，在该区域眼球震颤不那么明显，甚至可能不存在。如果“中和带”处于注视的初始位置，那么头部位置可能是正常的。如果中和带处于其他注视位置，那么患者可能会采取代偿性头部位置（CHP）以获得最佳视力。文中介绍了这些病例的手术治疗方法。手术指征基于代偿性头部位置的测量或眼球震颤阻滞综合征中的集合幅度。通过安德森手术，或者在病情更严重的情况下，通过凯斯滕鲍姆手术和/或屈佩斯人工散开手术，可以消除代偿性头部位置。有时单独施行屈佩斯手术，或与肌肉后徙术联合使用也是可行的。我们自己的病例资料及手术治疗结果将在下一篇论文中呈现。
