斜视专业应关注神经眼科问题  

See the ocular motor pathways disorders in neuro-ophthalmology from the view of major of strabismus

作　　者：张伟[1] Zhang Wei(Clinical College of Ophthalmology of Tianjin Medical University, Tianjin Eye Hospital and Institute, Tianjin Key Laboratory of Ophthalmology and Vision Science, Tianjin 300020, China)

机构地区：[1]天津医科大学眼科临床学院、天津市眼科医院、天津市眼科研究所、天津市眼科学与视觉科学重点实验室,300020

出　　处：《中华眼科杂志》2019年第1期3-6,共4页Chinese Journal of Ophthalmology

摘　　要：任何兼有神经系统和眼部异常的疾病均属神经眼科研究范畴,神经眼科疾病分为视觉传入系统障碍和视觉传出系统障碍两大类。视觉传入系统障碍主要引起视力下降或丧失,而视觉传出系统障碍引起的神经眼科疾病,由于主要表现为斜视、复视、眼球运动异常以及异常头位等,故常首诊于斜视与小儿眼科,而部分眼科医师仅从眼外肌疾病角度思考问题,易忽略视觉传出系统障碍导致的神经眼科问题,给诊断和治疗带来困扰。因此须从掌握常见视觉传出系统障碍性神经眼科疾病的临床特征和多条颅神经麻痹在颅脑中定位的意义入手,重视眼球震颤和瞳孔检查及其临床意义,关注首诊于眼科的传出系统障碍性神经眼科疾病,才能给予患者准确、及时的诊疗指导和干预,从而提高临床诊疗水平。Neuro-ophthalmology is an interdisciplinary that covers neurology and ophthalmology. Neuro-ophthalmology involves not only visual afferent system disorders but also visual efferent system disorders. We have recognized that any disturbance in afferent system may result in vision decrease or loss. However, our understanding of visual efferent system disorders including strabismus, diplopia, ocular motility and abnormal head posture is incomplete. More attentions should be paid to ocular motor pathways disorders in neuro-ophthalmology including clinical characteristics, localization of potential lesion, nystagmus and pupillary abnormalities, in order to improve diagnosis and treatment of neuro-ophthalmology.

关 键 词：斜视 视通路 传入通路 传出通路 

分 类 号：R777.41[医药卫生—眼科]