摘要
目的 探讨脑囊虫病的眼部表现及治疗。方法 应用CT确诊脑囊虫病,作眼部常规检查、CT和眼B超检查。对脑囊虫病患者用吡喹酮杀虫治疗,同时应用降颅压药物、神经营养药和糖皮质类固醇,降低颅内压,减轻视盘水肿和炎症,保护视力。合并眼部囊虫者手术摘除,玻璃体内囊虫采用玻璃体切割吸出,视网膜下囊虫术前定位后切开巩膜和葡萄膜取出,眼外肌和眶内囊虫直视下取出。结果 646例脑囊虫患者伴有视力下降者78例81眼,占12.1%;合并眼部囊虫者28例,占4.33%;有复视和眼球运动障碍者7例,占8.97%.药物治疗和手术治疗后视力恢复≥1.0者60眼,占84.51%.手术取出玻璃体内囊虫7例8眼,视网膜下囊虫1眼和眶内囊虫11例均获成功。结论 脑囊虫病可伴有不同程度视力下降,也可与眼部囊虫合并存在。
Objective To evaluate the ocular complications of brain cysticercosis and its treatment.Methods Brain cysticercosis was diagonsed by using CT.All patients' eyes were examined with CT,B sonarography and other ocular instruments.The patients who did not have ocular cysticercosis were treated with praziguantal,glucocoticoids and the drugs of nerve nutritions.Various surgical methods were used for ocular cysticercosis:sclerotomy for subretinal cysticercosis,pars plana incision and aspiration for intravitreal cysticercosis,direct extraction for orbit and extraocular muscles cysticercosis.Results In 646 patients of brain cysticercosis,vision was diminished in 78 patients.Ocular cysticercosis was noted in 28 patients.Diploma and limited ocular movement was noted in 7 patients.Vision reached 1.0 after operation and drug therapy in 60 patients.All operations were successful.Conclusion Brain cysticercosis might be accompanied by ocular cysticercosis and visual impairment.
出处
《眼科新进展》
CAS
2000年第1期50-51,共2页
Recent Advances in Ophthalmology
关键词
脑囊虫病
视力下降
眼部囊虫
治疗
并发症
brain cysticercosis
vision diminished
ocular cysticercosis
diploma and movement limited therapy
