国际眼科纵览 ›› 2022, Vol. 46 ›› Issue (3): 228-235.doi: 10.3760/ cma.j.issn.1673-5803.2022.03.007

• 综述 • 上一篇    下一篇

眼球震颤的临床特征及诊疗进展

李慧馨, 付晶, 郝洁   

  1. 首都医科大学附属北京同仁医院 北京同仁眼科中心 眼科学与视觉科学北京市重点实验室 100730
  • 收稿日期:2021-11-27 出版日期:2022-06-22 发布日期:2022-06-22
  • 通讯作者: 付晶,Email:fu_jing@126.com
  • 基金资助:
    国家自然科学基金面上项目(82070998);北京市科委科技计划项目(Z201100005520044);
    北京市医院管理中心临床技术创新项目(XMLX202103)

The clinical characteristics and progress in diagnosis and treatment of nystagmus

Li Huixin, Fu Jing, Hao Jie    

  1. Beijing Tongren Eye Center, Beijing Tongren Hospital, Capital Medical University, Beijing Key Laboratory of Ophthalmology & Visual Science, Beijing 100730, China
  • Received:2021-11-27 Online:2022-06-22 Published:2022-06-22
  • Contact: Fu Jing, Email: fu_jing@126.com
  • Supported by:
    National Natural Science Foundation of China(82070998); Program of Beijing Municipal Science & Technology Commission(Z201100005520044); Program of Beijing Hospitals Authority(XMLX202103)

摘要: 眼球震颤根据发病年龄可分为先天性眼球震颤和后天获得性眼球震颤,复杂多变的临床表现及有限的诊疗措施使其成为眼科诊疗的疑难杂症之一。近年来,视频眼震电图及数字化眼动仪等用于量化评估眼球震颤的程度及治疗效果;在治疗方面,除传统的手术方式外,可采用视光学手段(矫正屈光不正、配戴三棱镜)、生物反馈治疗、药物(加巴喷丁和美金刚胺)治疗及知觉训练等。(国际眼科纵览,2022, 46:228-235)

关键词: 眼球震颤, 先天性眼球震颤, 获得性眼球震颤, 代偿头位

Abstract: Nystagmus can be divided into congenital nystagmus and acquired nystagmus according to the age of onset. Due to its multiplex clinical manifestations and the limited diagnosis and treatment strategies, nystagmus becomes one of the difficult and complicated diseases in ophthalmic diagnosis and treatment.  In recent years, video nystagmography (VNG) and digital eye tracker have been used to quantitatively evaluate the degree of nystagmus and the therapeutic effect of nystagmus. In terms of treatment, in addition to traditional surgical methods, optometry (correcting refractive errors, wearing prism), biofeedback therapy, drug (gabapentin and memantine) therapy, and perception training were also be used. (Int Rev Ophthalmol, 2022, 46: 228-235)

Key words: nystagmus, congenital nystagmus, acquired nystagmus, abnormal head position