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[关于复视和强迫头位专家评估的思考]

[Reflections on expert assessment of double vision and forced head position].

作者信息

Kolling G H

机构信息

Universitäts-Augenklinik Heidelberg.

出版信息

Klin Monbl Augenheilkd. 1996 Jan;208(1):63-5. doi: 10.1055/s-2008-1035170.

DOI:10.1055/s-2008-1035170
PMID:8839348
Abstract

Visual impairment in patients with diplopia can be assessed using a scoring method in front of a tangent screen. The primary position is the starting position for these measurements. For medicolegal judgement the scoring is based on a suggestion of Haase and Steinhorst, ranging from a disability of 0% to 25%. A new proposal for scoring the field of binocular single vision (BSV) is made here: A field between 30 degrees right and left gaze, 20 degrees upgaze and 40 degrees downgaze is defined as used under every day conditions. It is divided such that diplopia in one lateral half field corresponds to 13% disability, in the upper half 10% and in the lower 18%. Patients suffering from a unilateral superior oblique palsy often show a slight torticollis. In these cases the habitually assumed head position should be taken as the starting posture for the tangent screen measurements.

摘要

复视患者的视力障碍可通过在正切屏前使用评分方法进行评估。初始位置是这些测量的起始位置。用于法医学判断时,评分基于哈泽和施泰因霍斯特的建议,范围从0%到25%的残疾程度。本文提出了一种对双眼单视(BSV)视野进行评分的新建议:将左右注视各30度、上注视20度和下注视40度之间的视野定义为日常使用的视野。该视野按如下方式划分:一侧半视野出现复视对应13%的残疾程度,上半视野为10%,下半视野为18%。患有单侧上斜肌麻痹的患者常表现出轻微斜颈。在这些情况下,应将习惯性采取的头部位置作为正切屏测量的起始姿势。

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