Duane眼球后退综合征Ⅲ型的临床特点

目的 探讨眼球后退综合征Ⅲ型的临床特征及治疗方法.方法 回顾性分析眼球后退综合征Ⅲ型8例,观察项目包括眼位、眼球运动、代偿头位、斜视度等临床表现及治疗方式.结果 眼球后退综合征Ⅲ型外斜视7例,内斜视1例,行患眼外、内直肌减弱术可改善代偿头位、眼球后退及睑裂变小.术后斜视度≤10Δ.结论 眼球后退综合征Ⅲ型临床表现特殊易被误诊或漏诊,全面掌握眼球后退综合征Ⅲ型的临床特点,有助于对本病的诊断与治疗.

Clinical characteristics of Duane's retraction syndromeⅢ

Objective To investigate the clinical manifestations and treatment for DRSⅢ.Methods 8 cases with DRSⅢ were summarized retrospectively,The data collected included ocular deviation,versions,abnormal head position(AHP),degree of strabismus and treatment methods.Results 8 cases consisted of 7 exotropia and 1 esotropia.Lateral or medial rectus recession of affected eye may improve abnormal head position,retraction and narrowing of the palpebral fissure.After the operation,horizontal tropia was less 10 prism diopters.Conclusion DRSⅢ is misdiagnosed for the differernt clinical characteristics.The full clinical knowledge of DRSⅢ can help to diagnose and treat.