CLINICAL OBSERVATIONS IN 101 CONSECUTIVE PATIENTS WITH DUANES RETRACTION SYNDROME
CLINICAL OBSERVATIONS IN 101 CONSECUTIVE PATIENTS WITH DUANES RETRACTION SYNDROME
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DOI：
10.1016/0002-9394(77)90687-0
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发表时间：
1977-01-01
影响因子：
4.2
通讯作者：
URIST, MJ
中科院分区：
文献类型：
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作者：
ISENBERG, S;URIST, MJ
在这些患者 (101) 中，85% 单侧受累，15% 双侧受累。与内斜视或外斜视相比，更多的患者在主要位置时有直眼。在侧向反射测试中，可以确定外直肌和内直肌的活动不足量，并且可以用于预测患者的眼睛在主要位置时是内斜性、外斜性还是直的。几乎所有患者在看向一侧时都表现出内斜视，而看向另一侧时要么表现出外斜视，要么没有偏差。相对侧的外斜视和内斜视的程度决定是否会出现头部转动以及转动方向。在内收时，1/2的患者由于上下眼睑的运动而导致患眼睑裂变窄，40%的患者由于仅一侧眼睑的运动而变窄。当下眼睑抬高时，通常呈现笔直的水平轮廓，泪点达到峰值（显示为小金字塔）。在眼睛处于第一位置的患者中，女性和左眼的统计优势更为显着。所有接受测试的患者均表现出立体视觉。大多数弱视患者都有屈光参差。
Of these patients (101), 85% were unilaterally affected and 15% were bilaterally affected. More patients had straight eyes in primary position than esotropia or exotropia. On lateral version reflex testing the amount of underaction of the lateral and medial rectus muscles could be determined, and could be used to predict whether the patients'' eyes were esotropic, exotropic or straight in primary position. Almost all the patients showed an esotropia when looking to 1 side and either an exotropia or no deviation to the other side. The degree of the exotropia and the esotropia on opposite sides determined whether a head turn would be present and in what direction. On adduction, the palpebral fissure in the affected eye narrowed in 1/2 the patients because of motion of both upper and lower eyelids, and in 40% because of motion of only 1 eyelid. When the lower eyelid elevated, it usually assumed a straight horizontal contour with peaking of the punctum lacrimalis (appearing as a small pyramid). The statistical predominance of females and left eyes was more significant among patients whose eyes were straight in primary position. All patients tested demonstrated stereopsis. Most of the amblyopic patients had anisometropia.