眼科 ›› 2014, Vol. 23 ›› Issue (6): 365-368.doi: 10.13281/j.cnki.issn.1004-4469.2014.06.002

• 焦点论坛 • 上一篇    下一篇

Duane眼球后退综合征的诊治要点

周金琼  付晶  卢炜   

  1. 100730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
  • 收稿日期:2014-09-04 出版日期:2014-11-25 发布日期:2014-12-01
  • 通讯作者: 付晶,Email:fu-jing@126.com E-mail:fu-jing@126.com

Diagnosis and treatment keys for Duane's retraction syndrome

ZHOU Jin-qiong, FU Jing, LU Wei   

  1. Beijing Tongren Eye Center, Beijing Tongren Hospital, Beijing Key Laboratory of Ophthalmology and Visual Sciences, Capital Medical University, Beijing 100730, China
  • Received:2014-09-04 Online:2014-11-25 Published:2014-12-01
  • Contact: FU Jing, Email: fu-jing@126.com E-mail:fu-jing@126.com

摘要: Duane眼球后退综合征(Duane retraction syndrome,DRS)的共同临床特征为眼球水平运动障碍,内转时睑裂缩小、伴眼球后退,外转时睑裂开大,部分患者眼球内转时伴有急速的上射或下射;其可分为Ⅰ、 Ⅱ、 Ⅲ型。DRS的发病机制既往认为是解剖结构异常所致,但目前多认为神经肌肉支配异常是其根本原因。因DRS患者临床表现各异,需对其特征性表现仔细观察方可做出正确诊断。同时,在治疗上,也需遵循一定的原则针对每例患者的特点设计出个性化的治疗方案。

关键词: Duane眼球后退综合征, 眼球运动障碍, 先天性颅神经发育异常综合征

Abstract: Duane's retraction syndrome (DRS) is characterized by limitation of horizontal duction associated with globe retraction and consequent narrowing of the palpebral fissure in adduction, with occasional upshoot or downshoot during adduction. It can be devided into type Ⅰ, Ⅱ, Ⅲ based on different ocular signs. As originally, DRS was thought to be due to anatomical abnormality, but new findings suggested that the pathogenesis was related to congenital dysinnervation of the lateral rectus muscle. The surgical strategy for DRS posed a challenge as all components of the disorders need to be taken into account on a case-by-case basis.

Key words: Duane’s retraction syndrome, ocular motility disorder, congenital cranial dysinnervation disorders syndrome