【摘要】 目的探讨老年人糖尿病眼肌麻痹的临床特点、发病机理及预后。方法对 2 1例糖尿病并发眼肌麻痹患者行常规眼科检查及眼肌专项检查 ,并进行内科全身检查、实验室血生化检查及影像学检查。结果 2 1例患者均为单眼发病 ,动眼神经麻痹者无瞳孔改变。结论糖尿病患者易合并眼肌麻痹 ,其微血管病变可能是临床发病的病理基础。本病经合理治疗预后良好。更多还原

【Abstract】 ObjectiveTo study the clinical features and pathogenesis of ophthalmoplegia in senile patients with diabetes, and access the possibility of its development.MethodsBesides routine ophthalmologic and ocular muscle examination, general and laboratory examinations were also done. Some patients were diagnosed also with the help of image processing.ResultsMonocular involvement happened in all 21 patients. 12 patients suffered from oculomotor nerve paralysis, 5 abducent nerve paralysis, 3 trochlearis nerve paralysis, and 1 compound nerve paralysis. Among these patients with complete oculomotor nerve panalysis, no papillary change appeared.Conclusions Microvascular pathologic change may be the pathogenetic basis of ophthalmoplegia for senile diabetic patients. Its prognosis is favorable if reasonable treatment is made.更多还原