急性共同性内斜视临床特点及病因分析  

Clinical features and etiology of acute acquired comitant esotropia

作　　者：蔡春艳[1] 覃银燕[1] 黄华林[1] 王智琦[1] 戴鸿斌[1] 陆秀兰[1] 

机构地区：[1]武汉爱尔眼科医院,430063

出　　处：《中国斜视与小儿眼科杂志》2017年第1期31-33,J0009,共4页Chinese Journal of Strabismus & Pediatric Ophthalmology

摘　　要：目的探讨急性共同性内斜视的临床特点及病因。方法回顾分析30例急性共同性内斜视,对病史、眼部检查、新斯的明试验、头颅及眼眶CT或MRI检查结果进行统计分析。结果 30例患者中有2例伴有神经系统病变。斜视度:+15~△^+80~△,平均:裸眼:5m:42±21~△;33cm:37±22~△;戴镜:5m:42±22~△;33cm:38±22~△。戴镜与裸眼斜视度的差异、看远看近斜视度差异均无统计学意义。29例内直肌止端距角膜缘的距离平均4.9mm。结论急性共同性内斜视的戴镜与裸眼斜视度、看远看近斜视度无明显差异。可伴有神经系统病变、内直肌止端前移等解剖异常。Objective To investigate clinical features and etiology of acute acquired comitant esotropia（AACE）. Methods A retrospective analysis was conducted on 30 patients with acute comitant esotropia （AACE）. Medical history, ophthalmologic and othoptic examinations,neostigmine test, brain and orbital imaging were statistically analysed. Results 2 patients had neurological diseases. The angle of deviation was 15 to 80 prism diopters （PD; average： 42±21PD at far and 37±22PD at near without glasses, 42±22PD at far and 38±22PD at near with glasses）.No significant difference of deviation was found between far and near fixation, with and without glasses. Conclusions No significant statistical difference was found between far and near fixation, with and without glasses in patients with AACE and neurological diseases and the abnormal anatomical insertion of medial rectus may be found.

关 键 词：急性共同性内斜视 内直肌 神经系统疾病 

分 类 号：R777.41[医药卫生—眼科]