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首页> 外文期刊>ORL: Journal for oto-rhino-laryngology and its borderlands >Amblyopia Associated with Congenital Facial Nerve Paralysis
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Amblyopia Associated with Congenital Facial Nerve Paralysis

机译：弱视与先天性面神经麻痹相关

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摘要

The association between congenital facial paralysis and visual development has not been thoroughly studied. Of 27 pediatric cases of congenital facial paralysis, we identified 3 patients who developed amblyopia, a visual acuity decrease caused by abnormal visual development, as comorbidity. These 3 patients had facial paralysis in the periocular region and developed amblyopia on the paralyzed side. They started treatment by wearing an eye patch immediately after diagnosis and before the critical visual developmental period; all patients responded to the treatment. Our findings suggest that the incidence of amblyopia in the cases of congenital facial paralysis, particularly the paralysis in the periocular region, is higher than that in the general pediatric population. Interestingly, 2 of the 3 patients developed anisometropic amblyopia due to the hyperopia of the affected eye, implying that the periocular facial paralysis may have affected the refraction of the eye through yet unspecified mechanisms. Therefore, the physicians who manage facial paralysis should keep this pathology in mind, and when they see pediatric patients with congenital facial paralysis involving the periocular region, they should consult an ophthalmologist as soon as possible. (C) 2016 S. Karger AG, Basel
机译：先天性面部瘫痪与视力发育之间的关联尚未得到充分研究。在27例小儿先天性面瘫病例中，我们确定了3例弱视患者，合并弱视是由于视力发育异常引起的视力下降。这3例患者在眼周区域出现面瘫，并在瘫痪侧发展为弱视。他们在诊断后和关键的视觉发育期之前立即戴上眼罩开始治疗。所有患者对治疗均有效。我们的研究结果表明，先天性面部麻痹，特别是眼周区域麻痹的弱视发生率高于普通儿科人群。有趣的是，这3例患者中有2例由于患眼的远视而发展了屈光参差性弱视，这表明眼周面部麻痹可能是通过尚未阐明的机制影响了眼睛的屈光度。因此，处理面瘫的医生应牢记这种病理情况，当他们看到小儿先天性面瘫涉及眼周区域的小儿患者时，应尽快咨询眼科医生。 （C）2016 S.Karger AG，巴塞尔

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