■确定头部姿势异常(AHP)的不同眼部原因的频率和表现。
■这个前景,在Farabi医院对149例眼科AHP患者进行了连续病例系列研究,伊朗,从2020年2月到2021年6月。所有患者均接受常规眼科检查。层次分析法的表现是通过三个视角的直接观察来确定的,而患者阅读视力图上他们能看到的最小的线条。在前面,上面,和侧视,进行观察以发现头部倾斜,头部转动,和下巴位置异常,分别。从所有患者中拍摄了习惯性AHP的照片。通过使用CorelDrawX7计算机软件计算将嘴唇中心连接到眉毛中心的线与垂直线之间的角度来测量头部倾斜量。
■149例AHP患者[男性101(67.8%)和女性48(32.2%)]的平均年龄为16.2±12.2(范围,2-57)年。AHP最常见的眼源为上斜肌麻痹(SOP)66例(44.3%),54例(36.2%)杜安退缩综合征(DRS),12例(8.1%)眼球震颤患者。眼AHP的其他常见原因是5(3.4%)中分离的垂直偏差(DVD),A和V型斜视3例(2.0%),布朗综合征各2例(1.3%),下直肌(IR)麻痹,和先天性眼外肌纤维化(CFEOM)。AHP在所有病例中最常见的表现是“纯头转向”(48.3%),其次是“纯头倾斜”(24.8%),“头部同时倾斜和头部转动”(20.8%),和“振作起来”(6.0%)。所有头部倾斜患者的平均头部倾斜为10.4°±8.9°(范围,5.0°-31.7°)。
■AHP最常见的眼源是SOP,DRS,和眼球震颤,其次是DVD,A和V型斜视,IR麻痹,CFEOM,布朗综合症此外,单纯的头转向和单纯的头倾斜是眼AHP最常见的表现,但并不总是像先前报道的这些病因那样在相同的方向或组合上看到.
UNASSIGNED: To determine the frequency and manifestations of different ocular causes of abnormal head posture (AHP).
UNASSIGNED: This prospective, consecutive case series study was performed on 149 patients with ocular AHP at Farabi hospital, Iran, from February 2020 to June 2021. All patients underwent routine ophthalmic examinations. The manifestation of AHP was determined by direct observation from three viewing angles, while the patient read the smallest line on the vision chart that they could see. In front, above, and lateral gazes, observations were performed to find head tilt, head turn, and chin abnormal position, respectively. A picture with habitual AHP was taken from all patients. The amount of head tilt was measured by calculating the angle between the line that connects the lips center to the center of the eyebrows and the vertical line using the Corel Draw X7 computer software.
UNASSIGNED: The mean age of 149 patients with ocular AHP [101 (67.8%) males and 48 (32.2%) females] was 16.2 ± 12.2 (range, 2-57) years. The most common ocular sources of AHP were found to be superior oblique palsy (SOP) in 66 (44.3%) patients, 54 (36.2%) cases with Duane\'s retraction syndrome (DRS), and 12 (8.1%) patients with nystagmus. Other frequent causes of ocular AHP were dissociated vertical deviation (DVD) in 5 (3.4%), A and V pattern strabismus in 3 (2.0%), and 2 cases (1.3%) in each of Brown syndrome, inferior rectus (IR) palsy, and congenital fibrosis of the extraocular muscles (CFEOM). The most common manifestations of AHP in all cases were \"pure head turn\" (48.3%), followed by \"pure head tilt\" (24.8%), \"simultaneous head tilt and head turn\" (20.8%), and \"chin up\" (6.0%). The mean head tilt among all patients with head tilt was 10.4° ± 8.9° (range, 5.0°-31.7°).
UNASSIGNED: The most frequent ocular sources of AHP were SOP, DRS, and nystagmus, followed by DVD, A and V pattern strabismus, IR palsy, CFEOM, and Brown syndrome. In addition, pure head turn and pure head tilt were the most common manifestations of ocular AHP but were not always seen in the same direction or combination as previously reported with these etiologies.