Sowka J
Nova Southeastern University College of Optometry, Fort Lauderdale, Florida, USA.
Optom Clin. 1996;5(3-4):53-76.
Diplopia is a symptom that may be the result of paralytic strabismus. The causes of paralytic strabismus are deficiencies of cranial nerves III, IV, or VI. When encountering neurogenic diplopia, the clinician must determine which ocular motor nerve is involved. The clinician must then decide whether the disturbance is in the nerve nucleus, its fascicles, along the course of the nerve in the subarachnoid space, in the cavernous sinus, or at its termination within the orbit. With proper diagnosis, identification, and localization, appropriate management may be undertaken.
复视是一种可能由麻痹性斜视导致的症状。麻痹性斜视的病因是第三、第四或第六颅神经功能不足。当遇到神经源性复视时，临床医生必须确定哪条眼运动神经受累。然后，临床医生必须判断病变是在神经核、其纤维束、蛛网膜下腔内神经走行过程中、海绵窦内还是在眼眶内的神经终末部位。通过正确的诊断、识别和定位，可采取适当的治疗措施。
