眼外肌学概述专家讲座.pptx

眼外肌学ExtraocularMuscles眼外肌SynergisticMuscles（协同肌）havethesamefieldofaction.BinocularSingleVision（双眼单视）Strabismus（斜视）斜视检验：synoptophoremethod（同视机）diplopiatest（复视试验）Bielschowskyhead-tiltingtest（歪头试验）非手术治疗:treatmentofAmblyopia（弱视治疗）opticaldevices:spectacles,prisms（配镜）pharmacologicagents:miotics,botulinumtoxin（散瞳、肉毒杆菌）手术治疗:手术方式:resectionandrecession（后退和缩短）shiftingofpointofmuscleattachment（前移）fadenprocedure（后固定）Choiceofmusclesforsurgery（肌肉选择）Adjustablesutures（调整缝线）Recession后退斜视分类：共同性内斜视第一斜视角等于第二斜视角治疗:PareticEsotropia麻痹性内斜视原因:diplopiaanddizzy（复视和头晕）Paresisofthelateralrectuscausesesotropia（内斜）headtilt,turn,orabnormalpostureofthehead（代偿头位）thesecondarydeviationisgreaterthantheprimarydeviation（第二斜视角大于第一斜视角）limitationoftheabduction（外转受限）治疗:共同性外斜视治疗:“A”&“V”patterns“A”Esotropia内斜A征“V”Esotropia内斜V征垂直斜视Paresisofleftinferioroblique（左下斜肌麻痹）Dissociatedverticaldeviation（分离性垂直偏斜）Amblyopia（弱视）Classification:临床表现:治疗:Nystagmus眼球震颤