Bianchi P E, Guagliano R, Salati R, Traselli G P, Trimarchi F
Eye Clinic, University of Pavia, IRCCS San Matteo Hospital, Italy.
Eur J Ophthalmol. 1996 Oct-Dec;6(4):446-50. doi: 10.1177/112067219600600418.
We report five cases with a mixture of esotropia and pseudoexotropia due to macular ectopia related cicatricial retinopathy of prematurity (ROP). On inspection, the patients, aged from 9 to 28 years, presented a divergence of the eyes and a nasally decentralised corneal light reflex. The cover test showed esodeviation. All the cases presented some clinical features common to congenital strabismus. Fundus examination showed temporal traction of vascular and retinal tissues and macular ectopia, referrable to cicatricial sequelae of spontaneously regressed severe ROP. Treatment is limited to follow-up, with attention being paid to the control of retinal damage rather than to resolving the esthetic defects. Despite cryotherapy, these conditions are increasing with the increase in severe ROP and are now relatively frequent. We suggest that they be carefully identified in order to avoid incorrect orthoptic or surgical treatment.
我们报告了5例因黄斑异位相关的早产儿瘢痕性视网膜病变（ROP）而出现内斜视和假性外斜视混合的病例。经检查，这些年龄在9至28岁之间的患者表现出双眼分开以及角膜光反射向鼻侧偏移。遮盖试验显示为内斜视。所有病例均呈现出一些先天性斜视的常见临床特征。眼底检查显示血管和视网膜组织向颞侧牵拉以及黄斑异位，这与严重ROP自然消退后的瘢痕后遗症有关。治疗仅限于随访，重点是控制视网膜损伤而非解决美观缺陷。尽管进行了冷冻治疗，但随着严重ROP病例的增加，这些情况仍在增多，且目前相对常见。我们建议应仔细识别这些情况，以避免不正确的视光学或手术治疗。
