垂直性斜视包括上斜肌麻痹、双上转肌麻痹、下斜肌麻痹、Brown(上斜肌鞘)氏综合征、眶底骨折伴有下直肌受损或麻痹、粘连综合征、以及第三对颅神经麻痹等。临床上以上斜肌麻痹最多见,甚至比外展神经麻痹还常见,可能因为大多数眼科医师对水平性斜视比较熟悉.而对垂直性斜视不甚注意之故。垂直性斜视的治疗,取决于正确的诊断。上斜肌麻痹可以分为先天性或后天性,完全性或部分性麻痹。其中以外伤原因占首位,有时 Vertical strabismus include supraspinal paralysis, double supra-muscular paralysis, inferior oblique palsy, Brown (oblique muscular sheath syndrome), orbital floor fractures associated with lower rectus muscle injury or paralysis, adhesions syndrome, and the first Three pairs of cranial nerve paralysis and so on. Clinically, the most common clinical manifestations of oblique muscle paralysis, even more than abducens nerve paralysis is also common, probably because most ophthalmologists are more familiar with horizontal strabismus, while not pay attention to the vertical strabismus so. The treatment of vertical strabismus depends on the correct diagnosis. Upper oblique paralysis can be divided into congenital or acquired, complete or partial paralysis. One of the causes of trauma tops, sometimes