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复像分析是临床上诊断眼外肌麻痹的重要一环,方法虽多,但较繁琐且容易出差错,作者经多例眼外肌麻痹复像分析,总结出一简易眼外肌麻痹复像分析法,现介绍如下以供同行参考。此法之关键在于辨别复像距离最大时是非交叉复视抑或是交叉复视,同时确认此时同侧眼最大作用肌与另眼配偶肌,非交叉复视为同侧眼最大作用肌麻痹,交叉复视为另眼配偶肌麻痹。具体方法如下:
Analysis of complex image is an important part of the clinical diagnosis of extraocular muscle paralysis, although the method is more, but more complicated and easy to go wrong, the author after more than extraocular muscle paralysis analysis, summed up a simple extraocular muscle paralysis Analysis, are presented below for peer reference. The key to this method is to identify the maximum distance when the image is non-cross-diplopia or cross-diplopia, at the same time confirm the maximum effect of the ipsilateral eye muscles and other spouses muscle, non-cross-visit for the largest role in the ipsilateral eye muscle paralysis, Cross diplopia as another spleen muscle paralysis. Specific methods are as follows: