论文部分内容阅读
33例因鼻源性疾病引起的眼部并发症中,眼球突出31例,复视18例,视力障碍(失明,光感、视力下降)10例,主要采取鼻外及鼻窦内窥镜下手术治疗。结果显示:术后眼球突出28例恢复原位(90.3%),18例复视消失(100%);视力障碍10例中5例视力恢复至0.6~0.8,1例光感恢复至1m指数,1例术前失明恢复至光感,3例治疗无效。表明鼻部病变导致视力障碍的发病率在鼻眼相关疾病中较高,积极治疗鼻部原发病灶,特别是尽早对外伤引起的眶及筛蝶窦血肿进行手术,可减少视功能的损害
Among the 33 cases of ocular complications caused by nasal diseases, there were 31 cases with enophthalmos and 18 cases with diplopia, and 10 cases with visual impairment (blindness, light perception and vision loss) treatment. The results showed that: 28 cases were restored to original position (90.3%) and 18 cases (50%) disappeared after enucleation; Visual acuity was restored to 0.6 ~ 0.8 A sense of recovery to 1m index, 1 case of blindness returned to light before surgery, 3 cases of treatment is invalid. Show that the incidence of nasal lesions leading to visual impairment in the nose and eye-related diseases in the higher active treatment of nasal lesions, especially as early as possible traumatic orbital and sieve sphenoid hematoma surgery can reduce the impairment of visual function