眼外肌结构和神经支配的研究进展

Research progress on the structure and innervation of extraocular muscles

除眼外肌本身及支配眼外肌神经系统的异常,眼外肌周围组织Pulley异常也可导致斜视。近年研究者利用Sihler技术显示了眼外肌的肌内神经分布。影像学技术不断进步,包括MRI、CT、眼前节相干光层析成像术、超声生物显微镜均可观察眼外肌附着点的位置。本文汇总了近年眼外肌神经解剖和影像学方面的最新研究进展,以期为斜视的临床诊断和治疗提供参考。

In addition to the abnormalities of the extraocular muscles themselves and the nervous system innervating the extraocular muscles,the tissue pulley abnormalities around the extraocular muscles may lead to the occurrence of strabismus.In recent years,researchers have shown the intramuscular nerve distribution of the extraocular muscles using the Sihler technique.With the continuous progress of imaging technology,magnetic resonance imaging,computed tomography,anterior segment optical coherence tomography and ultrasound biomicroscopy can be used to observe the attachment sites of the extraocular muscles.This review summarizes the latest research progress on the neuroanatomy of the extraocular muscles,in order to provide reference for the clinical diagnosis and treatment of strabismus.