PDF(Pubmed)
Abstract：
Aberrant regeneration occurs in forms of oculomotor motor nerve palsy and frequently involves the pupil, but the incidence and functional impact of ciliary muscle involvement in pediatric patients is sparsely reported in the literature. A 4-year-old girl presented with inflammatory oculomotor motor nerve paresis affecting the inferior division. Initial treatment focused on her inability to accommodate through her physiologic +2.5 D hyperopia and the prevention and treatment of amblyopia. She subsequently developed aberrant regeneration of the pupil, with miosis on adduction. Following eye muscle surgery for residual exotropia and hypertropia, her dry refraction was noted to be more myopic in the affected eye on adduction, mirroring aberrant pupillary constriction. Recognition of pediatric aberrant regeneration of accommodation may influence surgical planning for oculomotor nerve palsy and/or management of amblyopia.
摘要：
异常再生以动眼神经运动神经麻痹的形式发生，经常累及瞳孔，但是在文献中很少报道小儿患者睫状肌受累的发生率和功能影响。一名4岁女孩出现炎性动眼神经运动神经麻痹，影响下分区。最初的治疗重点是她无法适应生理+2.5D远视以及弱视的预防和治疗。她随后出现了异常的瞳孔再生，在内收瞳孔缩小。在眼肌手术治疗残余外斜视和高斜视后，注意到她的干屈光在内收时在受影响的眼睛中更近视，反映异常瞳孔收缩。儿童调节异常再生的识别可能会影响动眼神经麻痹的手术计划和/或弱视的管理。
