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目的 探讨脑囊虫病的眼部表现及治疗。方法 应用CT确诊脑囊虫病,作眼部常规检查、CT和眼B超检查。对脑囊虫病患者用吡喹酮杀虫治疗,同时应用降颅压药物、神经营养药和糖皮质类固醇,降低颅内压,减轻视盘水肿和炎症,保护视力。合并眼部囊虫者手术摘除,玻璃体内囊虫采用玻璃体切割吸出,视网膜下囊虫术前定位后切开巩膜和葡萄膜取出,眼外肌和眶内囊虫直视下取出。结果 646例脑囊虫患者伴有视力下降者78例81眼,占12.1%;合并眼部囊虫者28例,占4.33%;有复视和眼球运动障碍者7例,占8.97%.药物治疗和手术治疗后视力恢复≥1.0者60眼,占84.51%.手术取出玻璃体内囊虫7例8眼,视网膜下囊虫1眼和眶内囊虫11例均获成功。结论 脑囊虫病可伴有不同程度视力下降,也可与眼部囊虫合并存在。
Objective To investigate the ocular manifestations and treatment of cerebral cysticercosis. Methods CT cysticercosis was diagnosed by CT, routine ophthalmic examination, CT and ocular ultrasound examination. For cysticercosis patients with praziquantel insecticidal treatment, while reducing intracranial pressure drugs, neurotrophic drugs and glucocorticoid, reduce intracranial pressure, reduce disc edema and inflammation, protect eyesight. Patients with ocular cysticercosis were surgically removed. Vitreous ciliary worms were aspirated with vitrectomy. After retinal cystic debridement, the sclera and uvea were removed, and the extraocular muscles and orbital bursa were removed under direct vision. Results There were 81 eyes (78.1%) with visual acuity in 646 patients, 28 eyes (4.33%) with ocular cysticercosis, and 7 eyes (8.97%) with diplopia and ocular motility disorder Visual acuity after surgery was ≥1.0 60 eyes, accounting for 84.51% .7 cases of vitreous cyst were removed in 7 cases and 8 eyes, 1 case of subretinal cysticercosis and 11 cases of orbital cyst were successful. Conclusion Cerebral cysticercosis may be associated with varying degrees of vision loss may also be combined with ocular cysticercosis.