【摘要】 目的探讨不同年龄组双眼复视的病因特点,以利于提高临床的诊治效果。方法采用三棱镜、同视机、Hess屏及红玻片等方法对128例患者进行眼位、眼球运动和复视像检查,辅以血生化和影像学检查。结果青少年复视51例,其中眼肌运动障碍性复视30例,非眼肌运动障碍性复视21例。中老年复视77例,其中眼肌运动障碍性复视71例,非眼肌运动障碍性复视6例。结论青少年复视与中老年复视主要病因不同,青少年复视的主要病因为炎症、急性共同性斜视、外伤、肿瘤及重症肌无力等;中老年复视的主要病因是血管性疾病、外伤、脑肿瘤、炎症及全身病等,主要为眼肌运动障碍性复视。更多还原

【Abstract】 Objective To analyze the pathogenetic features of the binocular diplopia in different ages to improve the accuracy of clinical diagnosis and the therapeutic effect of treatment.Methods Prism,synoptophone,Hess screen and red glass test were used to examine the ocular position,eye movement and diplopia image in 128 cases.Biochemical examination of blood and imaging diagnosis were also involved.Results Among 128 cases,51 cases were younth,77 cases adult.Among 51 cases,30 cases were of ocular dyscinesia type,21 cases were of ocular non-dyscinesia type.Among those 77 cases,7l cases were of ocular dyscinesia type,6 cases were of ocular non-dyscinesia type.Conclusions The main causes in younth diplopia were different from those in adult diplopia.The younth diplopia were caused mainly by inflammation,acut-onset concomitant strabismus,surgical trauma,tumor and myasthenia gravis.The adult diplopia were caused mainly by vascular diseases,surgical trauma,brain tumor and inflammation.Most of adult diplopia were ocular dyscinesia type.更多还原