伴有视野缺损的复视的处理
Management of diplopia with visual-field defects.
作者信息
Kao Ling-Yuh, Liu Chun-Hsiu, Yang Meng-Ling
机构信息
Department of Ophthalmology, Chang Gung Memorial Hospital, Chang Gung University College of Medicine, Taoyuan, Taiwan.
出版信息
Taiwan J Ophthalmol. 2017 Jan-Mar;7(1):22-27. doi: 10.4103/tjo.tjo_5_17.
PURPOSE
The management of diplopia can be challenging in patients with a concurrent visual-field (VF) defect. We conducted a retrospective chart review to analyze and compare treatment outcomes for different types of VF defects.
METHODS
A retrospective chart review.
RESULTS
Seven patients with diplopia and VF defects were identified during the study. Four had bitemporal hemianopia, one had homonymous hemianopia, and two had a constricted central VF. A favorable or satisfactory outcome was achieved in all but two patients with bitemporal hemianopia.
CONCLUSIONS
The hemifield-slide diplopia may develop in patients with bitemporal hemianopia or heteronymous altitudinal visual defects. Sensory abnormalities usually persist, even after elimination of ocular misalignment.
目的
对于同时存在视野（VF）缺损的患者，复视的管理可能具有挑战性。我们进行了一项回顾性病历审查，以分析和比较不同类型VF缺损的治疗结果。
方法
回顾性病历审查。
结果
研究期间确定了7例患有复视和VF缺损的患者。4例为双颞侧偏盲，1例为同向偏盲，2例为中央视野狭窄。除2例双颞侧偏盲患者外，其余患者均取得了良好或满意的结果。
结论
双颞侧偏盲或异侧性垂直视觉缺损患者可能会出现半视野滑动性复视。即使消除了眼位偏斜，感觉异常通常仍会持续。
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