Rutstein R P, Bessant B
School of Optometry, University of Alabama at Birmingham 35294-0010, USA.
J Am Optom Assoc. 1996 Dec;67(12):733-9.
Horror fusionis is an uncommon anomaly and is rarely reported in the literature.
Five adults with long-standing diplopia associated with horror fusionis were examined.
All patients had strabismus since early childhood and had been treated at that time either with surgery, occlusion, and/or orthoptics/vision therapy. Prisms could not eliminate the diplopia. Graded occlusion was attempted with one patient but was not tolerated. Another patient with an asymmetrical dissociated vertical deviation could ignore the second image by fixating with the eye with the smaller deviation. Two patients reported the diplopia becoming less noticeable over the years.
Because of its poor prognosis, the diplopia associated with horror fusionis must be differentiated from other types of diplopia occurring in adults with childhood onset strabismus.
恐怖性融合障碍是一种罕见的异常情况,在文献中很少被报道。
对5例伴有恐怖性融合障碍且长期存在复视的成年人进行了检查。
所有患者自幼患有斜视,当时接受了手术、遮盖和/或视光学/视觉治疗。棱镜无法消除复视。对1例患者尝试了分级遮盖,但患者无法耐受。另1例患有不对称性分离性垂直偏斜的患者可以通过用较小偏斜眼注视来忽略第二个图像。2例患者报告多年来复视变得不那么明显了。
由于其预后较差,与恐怖性融合障碍相关的复视必须与儿童期发病的成人中出现的其他类型复视相鉴别。