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 常规眼科检查和眼肌专科检查及实验室生化检查确诊为糖尿病性眼肌麻痹 2 4例 (2 4只眼 ) ,部分病例辅以影像学检查。结果 2 4例均匀单眼发病 ,受累颅神经以动眼神经最多见 13例 (13只眼 ) ,其次为外展神经 9只眼 ,滑车神经 1只眼。结论 老年人糖尿病患者易合并眼肌麻痹 ,其发病可能与微血管病变有关
Objective To investigate the clinical features and pathogenesis of diabetic ophthalmoplegia in the elderly. Methods Regular ophthalmology, ophthalmoplegia and laboratory biochemical tests were performed to diagnose 24 cases (24 eyes) of diabetic ophthalmoplegia and some cases were assisted by imaging examination. Results 24 cases of uniform monocular disease involving cranial nerves to the oculomotor nerve up to 13 cases (13 eyes), followed by the abducens nerve in 9 eyes, a trochlear nerve in 1 eye. Conclusion Elderly diabetic patients with ophthalmoplegia, its incidence may be related to microvascular disease