后天麻痹性斜视96例病因分析

目的探讨后天麻痹性斜视的病因特点.方法采用三棱镜、同视机、Hess屏及红玻璃片等方法进行眼位、眼球运动和复像检查,辅以血液生化检查和影像学(CT、MRI、DSA)诊断.结果　96例中主要病因依次为外伤(22.9%)、炎症(14.6%)、颅内血管性疾病(10.4%)、糖尿病(10.4%)和眼眶肿瘤(10.4%).结论后天麻痹性斜视病因复杂,应对病人进行详细的全身和眼部检查.麻痹性斜视可能是系统性疾病的先兆或症状的一部分.

A etiological analysis of 96 cases with acquired paralytic strabismus

Objective To investigate pathogenic features of acquired paralytic strabismus and to elevate the rate of accurate clinical diagnosis and the therapeutic effect of treatment. Methods Prism, synoptophore, hess screen and red glass test were used to examine the ocular position, muscle movement and diplopia image in 96 cases. Biochemical examination of blood and imaging diagnosis (CT, MRI, DSA) were also included. Results Among 96 cases, the main causes were trauma (22 9%), inflammation (14 6%), intracranial vascular diseases (10 4%), diabetes (10 4%) and orbital tumor (10 4%) respectively. Conclusions The causes of acquired paralytic strabismus are complicated. The authors emphasize a complete examination of patients with acquired paralytic strabismus. The paralytic strabismus may be the premonitory or part sympotoms of some systematic diseases.