Russo P A, Flynn M F, Veith J
Illinois College of Optometry, Chicago, USA.
Optom Vis Sci. 1995 Dec;72(12):925-30. doi: 10.1097/00006324-199512000-00014.
Congenital ocular motor apraxia (C-OMA) is an infrequently reported eye movement disorder associated with malformation or delayed maturation of the brain. Patients with C-OMA are unable to initiate voluntary horizontal saccades. This results in characteristic head thrusts into the desired field of gaze to compensate for the lack of saccadic ability. Careful examination of an 8-year-old Hispanic male revealed uncoordinated eye movements, lack of voluntary saccades, head thrusts, and gross/fine motor delays all consistent with congenital ocular motor apraxia. Torsional oscillations that resembled rotary nystagmus were also present. These have not been previously reported in association with C-OMA. Because young patients with this condition may appear to have cortical blindness, C-OMA is an important differential to be aware of in making a diagnosis.
先天性眼球运动失用症（C-OMA）是一种较少报道的眼球运动障碍，与大脑畸形或发育延迟有关。患有C-OMA的患者无法发起自主水平扫视。这导致了特征性的头部向期望的注视方向猛推，以弥补扫视能力的不足。对一名8岁西班牙裔男性的仔细检查发现，其眼球运动不协调、缺乏自主扫视、头部猛推以及粗大/精细运动发育延迟，所有这些都与先天性眼球运动失用症一致。还出现了类似旋转性眼球震颤的扭转性摆动。此前尚未有与C-OMA相关的此类报道。由于患有这种疾病的年轻患者可能表现出皮质盲，因此在做出诊断时，C-OMA是一个需要注意的重要鉴别诊断。
