间歇性外斜视合并近反射痉挛1例

Intermittent exotropia complicated with spasm of the near reflex:a case report

患者女性,21岁,因“双眼视物模糊伴重影3周”就诊于云南大学附属医院眼科。患者主要症状为间歇性视物模糊、复视、头痛眼胀。眼部检查显示患者存在间歇性外斜视,有时合并内斜视或正位,伴有瞳孔缩小和假性近视等体征。综合临床表现,诊断为间歇性外斜视并发近反射痉挛。患者接受了双眼外斜视手术,术后眼位得到纠正,未再出现近反射痉挛的症状和体征。

A 21-year-old female patient presented to the Ophthalmology Department of Yunnan University Affiliated Hospital with complaints of"bilateral blurred vision accompanied by diplopia for 3 weeks".The patient′s main symptoms included intermittent visual blurring,diplopia,headaches,and ocular discomfort.Ocular examination revealed intermittent exotropia,sometimes accompanied by esotropia or orthotropia,along with signs of pupillary constriction and pseudomyopia.Based on the clinical presentation,a diagnosis of intermittent exotropia complicated by spasm of the near reflex(SNR)was made.The patient underwent bilateral exotropia surgery,which corrected the ocular alignment and resolved the symptoms and signs of SNR postoperatively.