Damms T, Damms C, Schulz E, Haase W
Augenklinik, Medizinischen Hochschule Hannover.
Ophthalmologe. 1994 Feb;91(1):77-80.
Pseudostrabismus due to dislocation of the macula is a well-known clinical entity mostly reported in the outward, upward and downward directions. This heterotopia is thought to be caused by changes in the growth rate in different areas of the retina or mechanically by retinal traction due to abortive ROP, vascular abnormalities, chorioiditis or other peripheral retinal disorders. In this paper we demonstrate four cases of macular dislocation in the direction of the optic disc associated with high myopia in infants and toddlers without signs of other retinal abnormalities. These children had myopia had myopia ranging from -17 to -20 D and esotropia superimposed by pseudostrabismus. In all four cases, strabismus surgery was performed. Postoperatively, these children showed signs of some binocular interaction. This case report may indicate that in children with strabismus associated with high myopia macular dislocation should be considered as a further characteristic affecting diagnosis and therapy.
黄斑移位所致的假性斜视是一种众所周知的临床病症，大多表现为向外、向上和向下移位。这种异位被认为是由视网膜不同区域生长速度的变化引起的，或者是由于早产性视网膜病变、血管异常、脉络膜炎或其他周边视网膜疾病导致的视网膜机械性牵引所致。在本文中，我们展示了4例婴幼儿黄斑向视盘方向移位且伴有高度近视的病例，未发现其他视网膜异常迹象。这些儿童近视度数在-17至-20 D之间，伴有内斜视并叠加假性斜视。所有4例均接受了斜视手术。术后，这些儿童表现出一些双眼相互作用的迹象。本病例报告可能表明，在患有斜视并伴有高度近视的儿童中，黄斑移位应被视为影响诊断和治疗的另一特征。
