鼻咽癌原发灶较隐蔽,常以眼部表现为主诉就诊于眼科,容易造成误诊、漏诊。现将我院354例鼻咽癌中首诊眼科或出现眼部表现的86例报告如下: 1 临床资料本组354例鼻咽癌为1987年1月～1990年12月经病理确诊,其中男267例,女87例。有眼部表现者86例(24.3％),其中单眼82例,双眼4例。视力下降者18例(20.9％),其中无光感4例。复视56例((65.1％)。眼底检查21例,其中视神经萎缩5例,视乳头水肿、出血3例,突眼3例。大部分颅神经受累者为合并受损,Ⅱ9例 Nasopharyngeal carcinoma is more hidden primary stools, often in the eyes of patients complained of ophthalmology, prone to misdiagnosis, missed diagnosis. Now in our hospital 354 cases of nasopharyngeal carcinoma first diagnosis of ophthalmology or ocular manifestations of 86 cases are reported as follows: 1 clinical data of this group of 354 cases of nasopharyngeal carcinoma from January 1987 to December 1990 confirmed by pathology, of which male 267 Cases, female 87 cases. There are 86 cases of eye expression (24.3%), of which 82 cases of monocular and 4 cases of binocular. Visual acuity in 18 cases (20.9%), of which no light perception in 4 cases. Duplex in 56 cases (65.1%). Fundus examination in 21 cases, including optic atrophy in 5 cases, papilledema, bleeding in 3 cases, exophthalmos in 3. Most of the patients with cranial nerve involvement were impaired, Ⅱ 9 cases