国际眼科纵览 ›› 2015, Vol. 39 ›› Issue (3): 165-169.doi: 10. 3706/ cma. j. issn.1673-5803. 2015. 03. 005

• 综述 • 上一篇    下一篇

微小斜视与单眼注视综合征的研究进展

 竺慧, 刘虎   

  1. 210029 南京医科大学第一附属医院眼科
  • 收稿日期:2015-03-28 出版日期:2015-06-22 发布日期:2015-06-25
  • 通讯作者: 刘虎,Email:liuhu66@163.com

Research progress of microtropia and the monofixation syndrome

 ZHU  Hui, LIU  Hu   

  1. Department of Ophthalmology, the First Affiliated Hospital of Nanjing Medical University, Nanjing 210029, China
  • Received:2015-03-28 Online:2015-06-22 Published:2015-06-25
  • Contact: LIU Hu, Email: liuhu66@163.com

摘要: “微小斜视”和“单眼注视综合征”均可用以描述双眼视功能异常的小度数斜视,临床特征易混淆,应注意鉴别。两者均可分为原发性、继发性和失代偿性三种。此外,根据遮盖试验的结果可将微小斜视分为和谐性和非和谐性;根据眼位偏斜方向可将微小斜视分为微小内斜视、微小外斜视和微小垂直斜视。微小斜视和单眼注视综合征可能由大角度斜视的残余、隐斜失代偿、屈光参差、遗传等原因导致,但确切病因尚不明了。两者的临床表现包括小度数显斜、异常视网膜对应、旁中心注视、中心暗点、弱视、一定程度的立体视和视网膜周边融合功能等。微小斜视一定存在小度数显斜,但不一定存在中心暗点。单眼注视综合征一定存在中心暗点,但不一定存在小度数显斜。两者治疗方法基本相同,主要包括矫正屈光参差、遮盖治疗、同视机训练、三棱镜和手术等。(国际眼科纵览, 2015, 39:165-169)

Abstract: Microtropia and the monofixation syndrome (MFS) can be used to describe the small angled squint with abnormal binocular function. Because of their confusing clinical features, attention should be paid to differential diagnosis. Both of them can be classified into three types: primary, secondary and decompensated. In addition, according to the result of cover test, microtropia can be classified into microtropia with identity and microtropia without identity. According to the direction of deviation, microtropia can be classified into micro-esotropia, micro-exotropia and micro-hypertropia. Microtropia and the MFS might be due to a residual of large strabismus, decompensated heterophoria, anisometropia or heredity, but the exact cause remains unknown. The clinical characteristics include small angled heterotropia, anomalous retinal correspondence, eccentric fixation, central scotoma, amblyopia and some degree of stereoacuity and peripheral fusion. For the diagnosis of microtropia, small angled heterotropia is essential,while central scotoma is not. For the diagnosis of the MFS, central scotoma is essential,while small angled heterotropia is not. Therapies for the two conditions are similar, including correction of the anisometropia, occlusion, synoptophore, prism and surgery.  (Int Rev Ophthalmol, 2015, 39:165-169)