目的:探讨先天性上斜肌麻痹的临床特点和治疗方法。方法:回顾分析52例61眼伴有先天性上斜肌麻痹病例的资料。结果:先天性上斜肌麻痹在先天性垂直眼外肌麻痹中常见;年龄较小,有较好的双眼视觉;有典型的代偿头位;歪头试验阳性;一般无复视。结论:先天性上斜肌麻痹一经确诊应尽早行手术治疗。

AIM:To study the clinical features and treatments of congenital superior oblique muscle paralysis.METHODS:Data of 52 patients 61 eyes with congenital superior oblique muscle paralysis were analyzed retrospectively.RESULTS:Congenital superior oblique muscle paralysis was common in congenital vertical strabismus.The binoculars vision of yournger patients was better.There was a typical compensatory head posture.The head tilt test was positive.without diplopia.CONCLUSION:Operation should be performed early once congenital superior oblique muscle paralysis is defined.

R777.4