与眼眶疾病相关的复视问题及治疗对策

摘要

Diplopia is the common clinical manifestation of orbital diseases,which seriously impairs patients' quality of life.It occurs in many kinds of conditions,including orbital fractures,thyroid associated ophthalmopathy and lesions in extraocular muscles.The article recommended the pathogenesis,diagnostic methods and surgical indications of diplopia evoked by orbital fractures.The extraocular muscles could be involved in thyroid associated ophthalmopathy.Diplopia occurred in the active or inactive stage has different treatment protocols.The lesions in extraocular muscles include idiopathetic inflammation,parasitic cyst and varied benign or malignant tumors.The suitable treatment with accurate pathologic results could reduce diplopia efficiently.%复视是眼眶疾病中较为常见的临床表现,严重影响患者的生活质量.眼眶骨折、甲状腺相关眼病和眼外肌病变是常见的眼眶疾病,复视为共同特征.本文介绍了眼眶骨折造成复视的机制、检查方法及手术适应证和手术时机.甲状腺相关眼病可累及眼外肌,炎症活动期和静止期均可发生复视,但治疗方案有所不同.眼外肌病变包括特发性炎症、寄生虫囊肿及多种良、恶性肿瘤,经手术明确病理诊断后给予针对性治疗,可有效改善复视.