论文部分内容阅读
例1 张某女5岁患儿1岁时,其母发现右眼向内上方斜,头向左肩歪,未引起家长重视。随着年龄增长,上述症状加重。4岁时,曾在两家医院诊断为“右眼上斜肌麻痹”。于1988年5月来诊,患儿系第一胎足月顺产,家族史无特殊。全身检查正常。右眼视力0.1,Jr7,左眼0.9.Jr1。33厘米照影,歪头时查,右眼注视不能,左眼注视,+20°R/L~15°。将头摆正位后,右眼注视,可以控制正位,左眼注视,+10°R/L~10°。遮盖右眼,右眼球缓慢上升至内上斜位。去除遮盖,右眼旋转下降至水平位;遮盖左眼,左眼则不动。右下斜肌功能过强,侧方注视时呈隐性眼震。头向左肩倾,面向右侧转,下颌上抬。遮盖1眼1小时后,头位无改善。同视机检查无同时视。左眼+2.
Example 1 Zhang 5-year-old female children aged 1 years old, her mother found the right eye inward oblique above the head, left shoulder crooked, did not cause parents attention. With age, the above symptoms worsened. At the age of 4, he was diagnosed with “paralysis of the right upper oblique muscle” in two hospitals. In May 1988 to the clinic, children with full-term first-term fetus, family history no special. The body check is normal. Right eye 0.1, Jr7, left eye 0.9.Jr1.33 cm Photographic, tilt head when the check, the right eye can not be, left eye gaze, +20 ° R / L ~ 15 °. The head position, the right eye, you can control the position, the left eye, +10 ° R / L ~ 10 °. Cover the right eye, the right eye slowly rising to within the oblique position. Remove the cover, right eye rotation down to the horizontal position; cover the left eye, the left eye is not moving. Right lower oblique muscle function is too strong, lateral nystagmus was nocturnal nystagmus. Head to the left shoulder tilt, facing the right turn, jaw lift. After covering 1 eye for 1 hour, the head position did not improve. With the same visual inspection at the same time. Left eye +2.