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目的:临床上上斜肌麻痹最常见,本文分析上斜肌麻痹代偿头位的原因、机理和规律。方法:所有病例行常规眼科检查、眼肌检查,Bielschowsky头位倾斜试验以及同视机双眼视觉功能检查。结果:本文报告上斜肌麻痹代偿头位的发生率为40.7％,并且与发病的年龄及病程长短相关。有代偿头位者基本具有双眼视觉功能。无代偿头位者丧失双眼视觉功能。结论:上斜肌麻痹是否出现代偿头位取决于:(1)双眼视觉功能。(2)发病年龄。(3)病程长短。本文结果表明发病年龄较大(>3岁)且病程短、有Ⅰ度以上双眼视功能者容易出现代偿头位。发病年龄小(<3岁),无代偿头位者,均已丧失双眼视觉功能。因此应重视早期诊断,及时进行恢复双眼视觉功能的训练和治疗。眼科学报 1995;11:227—229。
Objective: Oblique oblique paralysis is the most common in clinical practice. This article analyzes the causes, mechanisms and laws of upper oblique paralysis. Methods: All cases underwent routine ophthalmic examination, oculomotor examination, Bielschowsky head tilt test, and binocular visual function examination. Results: The incidence of upper oblique paralysis compensation head reported in this paper was 40.7%, and related to the age and course of the disease. The first person with a compensatory head with binocular vision. Loss-of-chiefs lose binocular vision. CONCLUSIONS: Whether supracervical paralysis is compensated depends on: (1) binocular visual function. (2) the age of onset. (3) duration of the disease. The results of this paper show that older patients (> 3 years old) and short course of disease, more than Ⅰ degree binocular vision prone to compensatory head position. Age of onset is small (<3 years old), without compensation for the first person, have lost their binocular vision. Therefore, attention should be paid to early diagnosis, timely recovery of binocular vision training and treatment. Journal of Ophthalmology 1995; 11: 227-229.