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ID:19527978
大小:1.27 MB
页数:31页
时间:2018-10-03
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1、FujianProvincialHospitalWenjieWuMD.,PhD.Chapter15StrabismusAnyDeviationFromPerfectOcularAlignmentDefinitionsConjugatemovement:Movementoftheeyesinthesamedirectionatthesametime.Ductions:Monocularrotationswithnoconsiderationofthepositionoftheothereye.abductionI
2、nfraduction(Depression)Supraduction(Elevation)adductionFusion:Formationofoneimagefromthetwoimagesseensimultaneouslybythetwoeyes.MotorFusion:Adjustmentsmadebythebrainininnervationofextraocularmusclesinordertobringbotheyesintobifovealandtorsionalalignment.Sens
3、oryFusion:Integrationinthevisualsensoryareasofthebrainofimagesseenwiththetwoeyesintoonepicture.DefinitionsDefinitionsHeterophoria(phoria):Latentdeviationoftheeyesheldstraightbybinocularfusion.EsophoriaExophoriaHyperphoriaHpophoriaHeterotropia(Tropia)Strabism
4、us:Manifestdeviationoftheeyesthatcannotbecontrolledbybinocularfusion.EsotropiaExotropiaHypertropiaHypotropiaDefinitionsOrthophoria:Theabsenceofanytendencyofeithereyetodeviatewhenfusionissuspended.SeldomPrimarydeviation:Thedeviationmeasuredwiththenormaleyefix
5、ingandtheeyewiththepareticmuscledeviating.Prismdiopter:Aunitofangularmeasurementusedtocharacterizeoculardeviation.A1-diopterprismdeflectsarayoflighttowardthebaseoftheprismby1centimeterat1meter.Onedegreeofarcequalsapproximately1.7∆.DefinitionsSecondarydeviati
6、on:Thedeviationmeasuredwiththepareticeyefixingandthenormaleyedeviating.Torsion:RotationoftheeyeaboutitsanteroposterioraxisIntorsion(Incycloduction):Rotationofthe12O’clockmeridianoftheeyetowardthemidlineofthehead.Exorsion(Excycloduction):Rotationofthe12O’cloc
7、kmeridianoftheeyeawayfromthemidlineofthehead.Vergences(Disjunctivemovements):Movementofthetwoeyesinoppositedirection.Convergence:Theeyesturninward.Divergence:Theeyesturnoutward.DefinitionsPhysiologyIndividualMuscleFunctionMotorAspectsMotorAspectsFieldofActio
8、nPhysiologySynergistic&AntagonisticMusclesSynergisticmusclesarethosethatthosethathavethesamefieldofaction.Musclessynergisticforonefunctionmaybeantagonisticforanther.PhysiologyMotorAspectsYokeMus
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