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在眼科门诊中,经常会遇到一些特殊类型的斜视,它的原因、临床症状及治疗与一般斜视不同,容易误诊和处理不当。如眼球后退综合征,表现外转不能,易误诊为外直肌麻痹;眼外肌纤维化综合征,表现眼外肌中一条、数条或全部眼外肌呈纤维化,引起眼球运动受限,形成一种特有的固定性斜视,易误诊为某条眼外肌麻痹;内分泌性眼外肌肌病引起下直肌的挛缩,表现下斜视,上转受限,易误诊为上直肌麻痹;急性共同性斜视,由于发病快,突然出现复视,往往认为是麻痹性斜视,以及其他一些特殊类型的斜视。为了引起眼科工作者对此种类型斜视的认识,今分别介绍于下。一、Duane眼球后退综合征眼球后退综合征共有三型,Ⅰ型表现患眼外转受限,Ⅱ型表现内转受限,而Ⅲ型表现内、外转均受限。
In the ophthalmic clinic, often encounter some special type of strabismus, its causes, clinical symptoms and treatment and general strabismus different, easy to misdiagnosis and improper handling. Such as retrograde syndrome, the performance of the transfer can not be easily misdiagnosed as lateral rectus paralysis; extraocular muscle fibrosis syndrome, the performance of extraocular muscle in a few, or all of extraocular muscle fibrosis, causing eye movement limited, Forming a unique fixed strabismus, easily misdiagnosed as a certain extraocular muscle paralysis; endocrine extraocular muscle myopathy caused by lower rectus muscle contracture, the performance of strabismus, the transfer limit, easily misdiagnosed as the upper rectus palsy; Acute common strabismus, due to rapid onset, sudden diplopia, often considered paralytic strabismus, as well as some other special type of strabismus. In order to arouse the understanding of ophthalmologists on this type of strabismus, the following are introduced respectively below. First, Duane retreated retina retina retrogressive syndrome, there are three types of total, type Ⅰ showed limited external ophthalmic transfer, type Ⅱ performance within the transfer limit, and type Ⅲ performance, the transfer are limited.