[麻痹性斜视：圣保罗慈善医院24年回顾]
[Paralytic strabismus: review of 24 years at "Santa Casa de São Paulo"].
作者信息
de Camargo Gustavo Bueno, Hida Wilson Takashi, Goldchmit Mauro, Uesugui Carlos Fumiaki, de Souza-Dias Carlos Ramos
机构信息
Departamento de Oftalmologia da Santa Casa de São Paulo, São Paulo, SP, Brasil.
出版信息
Arq Bras Oftalmol. 2007 Jul-Aug;70(4):585-7. doi: 10.1590/s0004-27492007000400005.
PURPOSE
To describe the incidence, etiologies and follow-up of patients with paralytic strabismus.
METHODS
Retrospective study of 519 strabismic patients with isolated III, IV or VI cranial nerve palsy of 11,000 charts of the Ocular Motility Section of the Department of Ophthalmology of "Faculdade de Ciências Médicas Santa Casa de São Paulo", Brazil, between January 1980 and October 2004. This study analyzed: the injured cranial nerve, affected eye, sex distribution, etiology and follow-up.
RESULTS
It was found that 17.1% of the cases were congenital and 82.9% acquired. The VI cranial nerve was the most frequently affected (49.7%). The incidence was higher in males (58.1%). Traumatism was the most common cause of III (43.0%), IV (52.4%) and VI (48.8%) nerve palsy. Surgery was performed in the three groups: third nerve (42.9%), fourth nerve (73.2%) and sixth nerve (43.2%).
CONCLUSIONS
The sixth cranial nerve was the most frequently affected and the most common cause was traumatism, the same as observed in the literature.
目的
描述麻痹性斜视患者的发病率、病因及随访情况。
方法
对巴西圣保罗圣卡塔琳娜医学院眼科眼动科11,000份病历中的519例孤立性动眼神经、滑车神经或展神经麻痹性斜视患者进行回顾性研究。研究时间为1980年1月至2004年10月。本研究分析了：受损的脑神经、患眼、性别分布、病因及随访情况。
结果
发现17.1%的病例为先天性，82.9%为后天性。展神经最常受累（49.7%）。男性发病率较高（58.1%）。外伤是动眼神经（43.0%）、滑车神经（52.4%）和展神经（48.8%）麻痹最常见的原因。三组均进行了手术：动眼神经组（42.9%）、滑车神经组（73.2%）和展神经组（43.2%）。
结论
展神经最常受累，最常见的病因是外伤，与文献报道一致。
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