The Heimann-Bielschowsky phenomenon (HBP) refers to coarse vertical oscillation of the eye with impaired vision. The ocular movements are strictly monocular, occurring only in the eye with amblyopia. The vertical oscillation is of equal velocity in both vertical directions, or may sometimes be greater in the downward than upward direction. HBP develops several years after loss of vision. It can be differentiated from dissociated nystagmus in spasmus nutans, congenital nystagmus and internuclear ophthalmoplegia based on the strict unilaterality, vertical direction and low frequency. Previously, only a few reports described the development of oscillopsia due to HBP after cataract surgery, which resolved spontaneously or responded to gabapentin. However, visual impairments due to diplopia or oscillopsia from HBP after cataract surgery have received little attention. We report a man who developed persistent vertical diplopia and oscillopsia due to HBP after a cataract operation, which markedly impaired his vision.

译文

Heimann-Bielschowsky现象 (HBP) 是指视力受损的眼睛的粗垂直振荡。眼球运动严格来说是单眼的,只发生在弱视眼。垂直振荡在两个垂直方向上的速度相等,或者有时在向下方向上大于向上方向。HBP在视力丧失后几年发展。根据严格的单侧性,垂直方向和低频,可以将其与分离的眼球震颤,先天性眼球震颤和核间眼肌麻痹区分开来。以前,只有少数报告描述了白内障手术后HBP引起的视神经振荡的发展,这种疾病自发消退或对加巴喷丁有反应。然而,白内障手术后因HBP引起的复视或视神经障碍引起的视力障碍很少受到关注。我们报告了一名男子,该男子在白内障手术后因HBP而出现持续性垂直复视和视神经振荡,这明显损害了他的视力。

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