Bascom Palmer Eye Institute, University of Miami Miller School of Medicine, Miami, Florida.
Bascom Palmer Eye Institute, University of Miami Miller School of Medicine, Miami, Florida.
J AAPOS. 2021 Jun;25(3):175-177. doi: 10.1016/j.jaapos.2021.02.005. Epub 2021 May 11.
The medical records of 350 patients (median age, 59 years) who presented emergently at Bascom Palmer Eye Institute from 2014 to 2019 for evaluation of diplopia were reviewed retrospectively. Diplopia was binocular in 305 cases (median duration, 5 days). Strabismus was present in 301 patients (horizontal in 49.2% of cases). The most common cause of binocular diplopia was cranial nerve palsy: of the 208 cases, 134 (64%) were microvascular. Nearly half of the neuroimaging scans obtained (102/205) were abnormal. Ten patients with abnormal scans required urgent neurosurgical evaluation.
回顾性分析了 2014 年至 2019 年期间因复视紧急就诊于巴斯科姆帕尔默眼科研究所的 350 例患者（中位年龄 59 岁）的病历。305 例（中位持续时间 5 天）患者为双眼复视。301 例患者存在斜视（49.2%的病例为水平斜视）。双眼复视最常见的原因为颅神经麻痹：208 例中，134 例（64%）为微血管性。近一半（102/205）获得的神经影像学扫描异常。10 例扫描异常患者需要紧急神经外科评估。
