林肯垂直斜视。
Lincoln's vertical strabismus.
作者信息
Goldstein J H
机构信息
Department of Ophthalmology, State University of New York, Brooklyn, USA.
出版信息
J Pediatr Ophthalmol Strabismus. 1997 Mar-Apr;34(2):118-20. doi: 10.3928/0191-3913-19970301-13.
BACKGROUND
The vertical strabismus manifested by Abraham Lincoln has been noted. This article reviews the historical findings and provides a specific diagnosis.
MATERIALS
Previous reports of symptoms and history relating to Lincoln's left hypertropia were reviewed. A series of photographs were reviewed. Lincoln's own description of his symptoms is provided.
RESULTS
Previous history indicates an intermittent left hypertropia. A family history of vertical strabismus was noted with regard to Mr Lincoln's cousin. There also is a history of trauma to the left frontal area and life-mask evidence of fracture over the left eye. The findings include a history of head tilt and diplopia, presumably most readily in downgaze.
CONCLUSION
Given the history and findings, the diagnosis of left superior oblique paresis of either congenital or traumatic origin seems appropriate.
背景
亚伯拉罕·林肯所表现出的垂直斜视已被提及。本文回顾了历史发现并给出了具体诊断。
材料
回顾了先前关于林肯左眼上斜视的症状和病史报告。查看了一系列照片。提供了林肯本人对其症状的描述。
结果
既往病史显示为间歇性左眼上斜视。林肯的表弟有垂直斜视家族史。还有左前额区域外伤史以及左眼上方骨折的生前面部模型证据。发现包括头位倾斜和复视史，推测最易出现在向下注视时。
结论
鉴于病史和检查结果，先天性或外伤性左眼下斜肌麻痹的诊断似乎是合适的。
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