Smith Daniel E, Blasi Ashley
Department of Pediatrics, Southern College of Optometry, Memphis, Tennessee 38104, USA.
Optometry. 2009 Oct;80(10):567-71. doi: 10.1016/j.optm.2009.02.012.
Tuberculosis is a serious, and unfortunately common, infectious disease caused by the organism Mycobacterium tuberculosis. The incidence, mortality, and physical/ophthalmologic effects are well documented. Although most common ophthalmologic findings include optic neuropathy and uveitis, cranial nerve palsies may also present secondary to intracranial inflammation.
A 17-year-old Somalian girl was referred to the eye clinic with the chief concern of intermittent diplopia and headaches. Although monocular visual acuity was excellent, ocular positioning tests confirmed a subtle abduction deficit of the right eye. Medical history was remarkable for active tuberculosis.
Tuberculosis is a mediating factor for abducens nerve palsy in children. Understanding the relationship between the disease process and ocular ramifications is imperative for competent management.
结核病是一种由结核分枝杆菌引起的严重且不幸较为常见的传染病。其发病率、死亡率以及对身体/眼部的影响都有充分记录。尽管最常见的眼科表现包括视神经病变和葡萄膜炎，但颅神经麻痹也可能继发于颅内炎症。
一名17岁的索马里女孩因间歇性复视和头痛被转诊至眼科门诊。尽管单眼视力极佳，但眼位检查证实右眼存在轻微外展缺陷。病史显示其患有活动性结核病。
结核病是儿童外展神经麻痹的一个中介因素。了解疾病过程与眼部后果之间的关系对于有效管理至关重要。
