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眼外肌麻痹是眼科的常丌尢病。1995年以来,我院收治眼外肌麻痹患者68例,报告如下。1临床资料1.1一般资料眼外肌麻痹患者68例,其中男39例,女29例;年龄22～75岁。均为后天性眼外肌麻痹。患者均因突然出现复视、伴头晕或头痛、恶心等来就诊。眼科检查视力大部分不受影响。眼位出现斜视,且第2斜视角大于第1斜视角,眼球运动出现向麻痹肌作用方向运动受限。复视相检查,以出现分离最大方向的周边物象,确定某条肌肉的麻痹。动眼神经不全麻痹时,可同时出现几条肌肉的麻痹,眼位呈外斜或外下斜,并伴有上睑下垂及瞳孔散大。患者因复视干扰,出现代偿头位,严重者可影响日常生活,遮盖一眼后复视消失。
Extraocular muscle paralysis is often not the eye disease. Since 1995, our hospital admitted to patients with extraocular muscle paralysis in 68 cases, the report is as follows. 1 Clinical data 1.1 General information Extraocular muscle paralysis in 68 patients, including 39 males and 29 females; aged 22 to 75 years. All acquired extraocular muscle paralysis. Patients due to sudden diplopia, with dizziness or headache, nausea and other treatment. Most of the ophthalmic examinations are unaffected. Ocular strabismus occurs, and the second oblique angle is greater than the first oblique angle, the eye movement appears to paralysis muscle movement in the direction of limited movement. Duplicate phase inspection to appear the direction of separation of the most peripheral objects to determine the paralysis of a muscle. Oculomotor nerve paralysis, there may be several muscle paralysis, the eye was oblique or oblique outside, and accompanied by ptosis and mydriasis. Patients due to diphtheria interference, the emergence of compensatory head position, severe cases can affect daily life, covering a disappeared after diplopia.