首发眼部病变的多发性腔隙性脑梗塞临床分析  

Clinical analysis of primary ophthalmologic signs of multiple lacunar infarction

作　　者：张翠薇 莫劲松[2] 赵文高 Zhang Cuiwei;Mo Jinsong;Zhao Wengao(Ophthalmic Department, Shenzhen Healthcare Office,Shenzhen 518000,China;Shenzhen Eye Hospital,Shenzhen 518000,China)

机构地区：[1]深圳市保健办专家门诊部眼科,518000 [2]深圳市眼科医院,518000

出　　处：《临床眼科杂志》2019年第4期359-360,共2页Journal of Clinical Ophthalmology

摘　　要：目的通过对首发眼部病变的多发性腔隙性脑梗塞21例的分析,以减少其在眼科的误诊及漏诊率。方法对首发眼部病变的多发性腔隙性脑梗塞病例21例的临床资料进行回顾性分析。眼科检查包括:视力、视野、眼球运动、复视试验、裂隙灯、眼底、眼压、相干光断层扫描(OCT)检查等。结果21例多发性腔隙性脑梗塞的眼部病变包括:视力下降例17(80.95%)、同向偏盲或象限盲9例(42.85%)、复视4例(19.04%)、眼球运动障碍3例(14.28%)、眼球震颤2例(9.5%),上睑下垂2例(9.5%)。结论多发性腔隙性脑梗塞的患者可因眼部症状首发或突出而首诊于眼科,熟悉并掌握神经眼科疾病其眼部临床表现有助于此病的早期诊断及治疗。Objective To decrease the ratio of missed diagnosis and misdiagnosis of iacunar infarction in ophthalmology department by analyzing it’s ocular initial symptoms. Methods Data from 21 cases with multiple lacunar infarction and initial ocular presentations were retrospectively reviewed. The ophthalmologic examinations included: visual acuity, the field of vision, movement of eyeball, diplopia test, slit-lamp examination, fundus examination, intraocular pressure and optical coherence tomography examination.Results The ocular presentations of Iacunar Infarction included: reduced visual acuity(17 cases, 80.95%), homonymous hemianopia or quadrantanopsia(9 cases, 42.85%), diplopia(4 cases, 19.04%), ocular motility disorders(3 cases, 14.28%), nystagmus(2 cases, 9.5%), and ptosis(2 cases, 9.5%). Conclusions Patients with multiple Iacunar infarction may be first diagnosed in the department of ophthalmology because of their initial ocular symptoms, therefore knowledge on related ocular symptoms may contribute to early diagnosis and treatment.

关 键 词：多发性腔隙性脑梗塞 眼部症状 

分 类 号：R743.3[医药卫生—神经病学与精神病学]