首都医科大学学报 ›› 1986, Vol. 7 ›› Issue (3): 207-209,249.

• 论著 • 上一篇    下一篇

微小度数斜视(附50例报告)

张方华   

  1. 北京同仁医院眼科
  • 收稿日期:1900-01-01 修回日期:1900-01-01 出版日期:1986-07-15 发布日期:1986-07-15

Microtropia-Report of 50 cases

Zhang Fanghua   

  1. Beijing Tong Ren Hospital
  • Received:1900-01-01 Revised:1900-01-01 Online:1986-07-15 Published:1986-07-15

摘要:

本文分析了50例微小度数斜视,其中内斜视49例,外斜视1例,74%为儿童,除视力低下外,无其他自觉症状。临床特征为具有10以下的斜视,常合并不同程度的弱视、屈光参差、旁中心注视及一致性异常视网膜对应,在日常双眼视状态下,弱视眼有抑制性暗点,有一定程度的双眼视功能。常用的检查方法有遮盖不遮盖法,4底向外及底向内三棱镜试验,应与屈光参差性弱视相鉴别。治疗以克服弱视,采用遮盖法为主。

Abstract:

Fifty cases of microtropia were analysed which included 49 cases of ecotropia and one case of exotropia. 74% of cases were children, No subjective symptomes were experiened except for lowered vision. The clinical characteristics consisted of less than 10 prism diopter heterotropia combined with some degrees of ambluopia, anisometropia, eccentric fiation and harmonious anomalous retinal correspondence. The amblyopic eye had an inhibiticus scotoma under normal binocular condition with certain degrees of binocular function. The methods of examination in common use were cover-uncover test, 4 prism base-out and dase-in test. It must be differentiated from the anisometropic amblyopia. The treatment was directed to overcome the amblyopia mainly adopting the coyer method.