摘要
目的:分析中老年人麻痹性斜视导致复视的发病原因。方法:中老年双眼复视患者38例年龄45～76岁进行常规眼科专科检查、复视像分析及血压、血生化、CT、MRI检查,明确引起眼外肌麻痹的病因。结果:在38例中腔隙性脑梗塞18例(47.4%),脑出血2例(5.3%),颅内肿瘤1例(2.6%),脑外伤1例(2.6%),病毒感染3例(7.9%),糖尿病5例(13.2%),高血压1例(2.6%),Graves病2例(5.3%),眼眶骨折1例(2.6%),鼻咽部肿瘤2例(5.3%),副鼻窦肿瘤1例(2.6%),纵膈肿瘤1例(2.6%)。结论:中老年人眼外肌麻痹所致复视多能查出病因。
AIM： To analyze the reasons of the diplopia caused by paralytic strabismus in the elderly. METHODS： General examinations of specialty of ophthalmology, dipopia image analysis, as well as blood pressure, blood biochemistry, CT and MRI examinations were performed in 38 cases with diplopia aging from 45 to 76 year olds to determine their causes of ophthalmoplegia externa. RESULTS： For the 38 cases, the main causes were cerebrovascular diseases. The rest included tumor, Grave＇s disease and orbit fracture. CONCLUSION： Most of the causes of drplopia in the elderly by ophthalmoplegia externa can be found, so oculists must examrne the patients carefully and entirely to find out the causes.
出处
《国际眼科杂志》
CAS
2005年第4期806-808,共3页
International Eye Science
