L Liu, X Ma, M Liu, J J Dong, W Tang, S Z Wang, Y T Wang, Y Yang, L Y Guo
{"title":"[间歇性外斜并发近反射痉挛：病例报告]。","authors":"L Liu, X Ma, M Liu, J J Dong, W Tang, S Z Wang, Y T Wang, Y Yang, L Y Guo","doi":"10.3760/cma.j.cn112142-20230831-00069","DOIUrl":null,"url":null,"abstract":"<p><p>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.</p>","PeriodicalId":39688,"journal":{"name":"中华眼科杂志","volume":"60 6","pages":"537-540"},"PeriodicalIF":0.0000,"publicationDate":"2024-06-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":"{\"title\":\"[Intermittent exotropia complicated with spasm of the near reflex: a case report].\",\"authors\":\"L Liu, X Ma, M Liu, J J Dong, W Tang, S Z Wang, Y T Wang, Y Yang, L Y Guo\",\"doi\":\"10.3760/cma.j.cn112142-20230831-00069\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<p><p>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.</p>\",\"PeriodicalId\":39688,\"journal\":{\"name\":\"中华眼科杂志\",\"volume\":\"60 6\",\"pages\":\"537-540\"},\"PeriodicalIF\":0.0000,\"publicationDate\":\"2024-06-11\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"中华眼科杂志\",\"FirstCategoryId\":\"3\",\"ListUrlMain\":\"https://doi.org/10.3760/cma.j.cn112142-20230831-00069\",\"RegionNum\":0,\"RegionCategory\":null,\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"\",\"PubModel\":\"\",\"JCR\":\"Q3\",\"JCRName\":\"Medicine\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"中华眼科杂志","FirstCategoryId":"3","ListUrlMain":"https://doi.org/10.3760/cma.j.cn112142-20230831-00069","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q3","JCRName":"Medicine","Score":null,"Total":0}
[Intermittent exotropia complicated with spasm of the near reflex: a case report].
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.
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