微小斜视是一类小度数斜视，遮盖试验有时为阴性，伴有异常视网膜对应、偏中心注视、弱视及粗略的立体视等临床特点的疾病。微小斜视性弱视特别是伴有偏中心注视治疗十分困难，临床诊疗工作中常常因斜视度数小，遮盖试验阴性未能及时发现这一疾病而误诊或漏诊，忽视患者伴有偏中心注视及固视不稳定的情况，将其作为普通弱视治疗，治疗效果并不理想，甚至有时起到反作用。本文从微小斜视的分类、病因、临床表现、诊断及治疗等方面进行综述，以期为临床诊断和治疗该类疾病提供参考。

Microstrabismus is a kind of small angle strabismus, sometimes negative in cover test, accompanied by clinical characteristics such as abnormal retinal correspondence, eccentric fixation, amblyopia and rough stereopsis. Microstrabismus amblyopia treatment is very difficult, especially in eccentric fixation. In daily diagnosis and treatment, the microstrabismus often misdiagnosed due to the small squint degree and the negative coverage test, failed to be treated properly and in-time, the patient's eccentric fixation and fixation instability also been ignored, treated as normal amblyopia, while the result is not effective, sometimes even leads opposite effect, so it's important to recognize the microstrabismus.

爱尔眼科医院集团科研基金资助项目(No.AFQ1708D2)