论文部分内容阅读
目的：探讨老年人糖尿病性眼肌麻痹的临床特点和发病机制。方法：常规的眼科检查和眼肌专科检查，内科行全身检查及实验室血生化检查以确诊糖尿病；部分病例辅以影像学检查。结果：３９例老年人糖尿病患者多数为单眼患病；受累颅神经以动眼神经最多２１例２３只眼，以后依次为外展神经１２例，滑车神经和复合神经麻痹各３例。动眼神经麻痹中５例为伴随上睑下垂和瞳孔变化的完全性动眼神经麻痹。大多数患者合并有高血压，近半数患者有高血脂症。结论：老年人糖尿病患者易合并眼肌麻痹，其微血管病变是临床发病的病理基础
Objective: To investigate the clinical features and pathogenesis of diabetic ophthalmoplegia in the elderly. Methods: Routine ophthalmology and ophthalmology examination, medical examination and laboratory biochemical biochemical tests to confirm the diagnosis of diabetes; some cases supplemented by imaging studies. Results: Most of the 39 elderly diabetic patients were monocular. The cranial nerves in the cranial nerves involved 21 eyes in up to 21 eyes and 23 eyes, followed by 12 abducens nerves and 3 in each of the trochlear nerve and the compound nerve palsy. Five cases of oculomotor palsy were complete oculomotor palsy accompanied by ptosis and pupil changes. Most patients with high blood pressure, nearly half of patients with hyperlipidemia. Conclusion: Elderly diabetic patients with ophthalmoplegia, microvascular disease is the pathological basis of clinical pathogenesis