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首页> 外文期刊>Journal of pediatric ophthalmology and strabismus >Unilateral or asymmetric congenital ptosis, head posturing, and amblyopia.
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Unilateral or asymmetric congenital ptosis, head posturing, and amblyopia.

机译：单侧或不对称先天性上睑下垂，头部姿势和弱视。

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PURPOSE: To determine the prognostic implication of compensatory head posturing in patients with unilateral or asymmetric congenital ptosis. METHODS: A retrospective review of 80 consecutive patients with unilateral or asymmetric congenital ptosis was performed. The presence of documented compensatory head posturing, age of onset, age of presentation, visual acuity, refraction, and amblyopia were recorded, and binocularity was tested. RESULTS: Five of seven (71%), patients with unilateral or asymmetric congenital ptosis and compensatory head posturing had amblyopia. All of these patients had straight eyes and four of the five amblyopic patients had anisometropia of less than 2 diopters (D). CONCLUSION: The high incidence of amblyopia in this group can occur in the absence of significant anisometropia and strabismus. This unusually high incidence of amblyopia in this subgroup of patients with unilateral or asymmetric congenital ptosis and compensatory head posturing warrants compulsive examination and prophylactic part-time occlusion therapy of the nonptotic eye until reliable vision testing can be performed.
机译：目的：确定单侧或不对称先天性上睑下垂患者代偿性头部姿势的预后意义。方法：回顾性分析80例连续性单侧或不对称先天性上睑下垂患者。记录有记录的代偿性头部姿势，发作年龄，出现年龄，视力，屈光度数和弱视，并测试双眼度。结果：七分之五（71％）的单侧或不对称先天性上睑下垂且代偿性头位姿势的患者患有弱视。所有这些患者的眼睛均为直视，五位弱视患者中的四位屈光参差小于2屈光度（D）。结论：该组弱视的高发可能在没有明显的屈光参差和斜视的情况下发生。在单侧或不对称先天性上睑下垂和代偿性头部姿势的这一亚组患者中，弱视的这种异常高发生率要求对非上睑下垂的眼睛进行强制性检查和预防性的兼职闭塞治疗，直到可以进行可靠的视力测试为止。

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