Deng D, Chen G, Mai G
Zhongshan Ophthalmic Center, Sun Yat-sen University of Medical Sciences, Guangzhou, China.
Yan Ke Xue Bao. 1995 Dec;11(4):227-9.
Superior oblique muscle paralysis is the most common disease in clinic. We analysed the cause, machanism and regularity of compensatory head posture in superior oblique muscle paralysis.
All of 27 cases with superior oblique muscle paralysis aere examined regularly, and special muscle, binocular single vision function with synoptophore examined. Bielschowsky test was made.
In our cases, the incidence rate of compensatory head posture was 40.7%, which had relations with age when a patient had disease, period and function of binocular single vision.
The existance of binocular single vision function is the physiological bases leading to compensatory head posture, and the patients whose ages are older than 3 years and the course is less than 10 years may present the compensatory head posture. So we should pay attention to early diagnosis and training to restore the binocular single vision function.
上斜肌麻痹是临床上最常见的疾病。我们分析了上斜肌麻痹代偿头位的病因、机制及规律。
对27例上斜肌麻痹患者进行定期检查,检查特殊肌肉、使用同视机检查双眼单视功能。进行 Bielschowsky 试验。
在我们的病例中,代偿头位的发生率为40.7%,其与患者患病时的年龄、双眼单视的时期及功能有关。
双眼单视功能的存在是导致代偿头位的生理基础,年龄大于3岁且病程小于10年的患者可能出现代偿头位。因此我们应注意早期诊断及训练以恢复双眼单视功能。