眼肌麻痹的眼外相关病因分析  

Etiological analysis of extraocular causes of ophthalmoparalysis

作　　者：黄爱平[1] 张建良[1] 李霄[1] 唐祝元[1] 刘伟[1] 黄姣[1] 

机构地区：[1]中国湖南省湘潭市第一人民医院眼科,411101

出　　处：《国际眼科杂志》2011年第3期495-497,共3页International Eye Science

摘　　要：目的:探讨眼肌麻痹的眼外相关病因。方法:对157例眼肌麻痹患者采用三棱镜、同视机及红玻片等方法进行常规眼科和眼肌检查,辅以血液生化检查和影像学(CT,MRI,DSA)诊断。结果:眼肌麻痹的眼外相关病因主要有糖尿病(23.6%)、颅脑血管疾病(18.5%)、颅脑外伤(15.9%)、炎症性疾病(10.8%)、甲状腺性相关眼病(7.0%)、颅脑肿瘤(4.5%)、重症肌无力(1.9%)、鼻咽癌(1.9%)等。结论:眼肌麻痹病因复杂,对无法用眼部原因解释的双眼复像患者,应进行详细的全身和眼部检查,以明确病因。AIM： To explore relevant extraocular causes of ophthalmoparalysis, METHODS： Routine ophthalmologic and ocular muscle examination were performed in 157 patients of ophthalmoparalysis to use prism, synoptophore and red glass test, etc. Biochemical examination of blood and imaging diagnosis（CT, MRI, DSA） were also included. RESULTS：For the 157 cases,the extraocular causes were mainly diabetes （23. 6%）, intracranial vascular diseases （18.5%）, craniocerebral trauma （ 15.9% ）, viral infection （10. 8%）, thyroid associated ophthalmopathy （ 7. 0% ）, encephalic tumor （4. 5%）, myasthenia gravis （ 1. 9%）, nasopharyngeal carcinoma（1. 9% ）, etc. CONCLUSION： The causes of ophthalmoparalysis are complicated. For patients with binocular diplopia cannot be explained by ocuar diseases, the patients should be examined carefully with a complete body and eyes to determine the causes.

关 键 词：眼肌麻痹 眼外病因 病因分析 

分 类 号：R777.45[医药卫生—眼科]