白内障摘除人工晶体植入术后复视的临床探讨  

Investigation of the diplopia after intraocular lens implantation

作　　者：夏群[1] 关航[1] 郭小萍[1] 申德昂 

机构地区：[1]北京医院眼科,100730 [2]河南汝南县人民医院眼科

出　　处：《中华眼科杂志》1999年第6期449-452,共4页Chinese Journal of Ophthalmology

摘　　要：目的　探讨白内障摘除人工晶体植入术后复视的发病原因、机制及临床转归。方法对白内障摘除人工晶体植入术后２４ 例复视患者行视力、眼前节、眼底等常规检查，并进行屈光、眼肌运动、复视像检查，用三棱镜及同视机检查眼位及融合功能，部分患者行眼肌牵拉试验。结果　双眼复视１９ 例中，斜视性复视１７ 例，中枢融合障碍性复视２ 例；斜视性复视中，除３ 例为间歇性外斜视外，其余１４ 例均有不同程度的眼肌运动障碍；单眼复视５ 例中，４ 例为手术后人工晶体偏位所致，１ 例为先天性下方虹膜缺损所致。结论　白内障摘除人工晶体植入术后部分患者合并眼肌运动障碍性复视，其发病机制尚不明确，早期经过积极治疗，大部分患者可获得健全的双眼视觉；单眼复视多为手术并发症所致。Objective To investigate the pathogenesis, mechanism and prognosis of diplopia after cataract extraction with intraocular lens implantation (IOL) Methods Besides routine ocular examinations, refraction, ocular position, ocular movement, fusional function and image of diplopia were examined on all the patients Forced duction was examined on partial patients Results Among 24 cases with diplopia after IOL implantation, there were 19 cases of binocular diplopia and 5 cases of monocular diplopia Of the binocular diplopia, there were 17 cases of strabismic diplopia and 2 cases of diplopia due to central fusional impairment Of the cases with monocular diplopia, there were 4 cases resulted from operative complication and one case with congenital iridocoloboma Conclusions The pathogenesis of strabismic diplopia resulted from dysfunction of ocular movement is unknown Most of the patients can obtain binocular vision by early active treatment Monocular diplopia is partly resulted from operative complication

关 键 词：复视 白内障摘除术 人工晶体植入 病因 病理 

分 类 号：R779.660.6[医药卫生—眼科] R774[医药卫生—临床医学]