目的:探讨眼肌麻痹的眼外相关病因。方法:对157例眼肌麻痹患者采用三棱镜、同视机及红玻片等方法进行常规眼科和眼肌检查,辅以血液生化检查和影像学(CT,MRI,DSA)诊断。结果:眼肌麻痹的眼外相关病因主要有糖尿病(23.6%)、颅脑血管疾病(18.5%)、颅脑外伤(15.9%)、炎症性疾病(10.8%)、甲状腺性相关眼病(7.0%)、颅脑肿瘤(4.5%)、重症肌无力(1.9%)、鼻咽癌(1.9%)等。结论:眼肌麻痹病因复杂,对无法用眼部原因解释的双眼复像患者,应进行详细的全身和眼部检查,以明确病因。

·AIM:To explore relevant extraocular causes of ophthalmoparalysis.METHODS:Routine ophthalmologic and ocular muscle examination were performed in 157 patients of ophthalmoparalysis to use prism,synoptophore and red glass test,etc.Biochemical examination of blood and imaging diagnosis(CT,MRI,DSA)were also included.RESULTS:For the 157 cases,the extraocular causes were mainly diabetes(23.6%),intracranial vascular diseases(18.5%),craniocerebral trauma(15.9%),viral infection(10.8%),thyroid associated ophthalmopathy(7.0%),encephalic tumor(4.5%),myasthenia gravis(1.9%),nasopharyngeal carcinoma(1.9%),etc.CONCLUSION:The causes of ophthalmoparalysis are complicated.For patients with binocular diplopia cannot be explained by ocuar diseases,the patients should be examined carefully with a complete body and eyes to determine the causes.

R777.45