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[眼眶囊尾蚴病的诊断——眼科医生面临的挑战]

[Diagnosis of orbital cysticercosis -- a challenge for ophthalmologist].

作者信息

Szabo Bianca, Popescu Livia, Szabo I, Opincariu I

机构信息

Clinica Oftalmologie, Universitatea de Medicină ş1 Farmacie "Iuliu Haţieganu" SpitaluL Clinic Judeţean de Urgenţă Cluj-Napoca

出版信息

Oftalmologia. 2012;56(3):59-64.

Abstract

Cysticercosis is a cause of serious ocular/orbital morbidity. Ocular cysticercosis can involve the anterior segment, posterior segment or adnexa. The cysticercus parasite has a predilection for subconjunctival, subretinal and intravitreal structures. Orbital involvement, in which the parasite localises within the extraocular muscle is rare. Orbital cysticercosis commonly presents with signs of inflammation, diplopia, restricted extraocular motility and proptosis. This report is of a 43-year-old woman with orbital cysticercus lying in the intraconal space, in relation with lateral rectus muscle, near to the apex of the orbit, presenting as a diplopia and painless movements of the eyeball.

摘要

囊尾蚴病是导致严重眼部/眼眶病变的原因。眼囊尾蚴病可累及眼前段、眼后段或附属器。囊尾蚴寄生虫易寄生于结膜下、视网膜下和玻璃体内结构。寄生虫定位于眼外肌内的眼眶受累情况罕见。眼眶囊尾蚴病通常表现为炎症体征、复视、眼球运动受限和眼球突出。本报告介绍的是一名43岁女性,眼眶囊尾蚴位于肌锥内间隙,与外直肌有关,靠近眶尖,表现为复视和眼球无痛性活动。

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