CAJ | 학술논문

目的：探讨限制性斜视的病因及分布情况。方法回顾性病例研究。对2012至2014年间在武汉大学人民医院就诊的122例限制性斜视患者的临床资料进行分析。了解其病因、斜视度数、复视、眼球运动、被动牵拉试验、影像学诊断、血液生化检查等情况。结果成人限制性斜视病因主要为甲状腺相关眼病（ TAO ）48例（50．5％），其他依次为眼眶骨折25例（26．3％）、高度近视相关性内斜视7例（7．4％）、视网膜脱离术后5例（5.3％）。儿童限制性斜视病因主要为Duane（眼球后退综合征）13例（48．1％），其次为先天性眼外肌纤维化综合征（CFEOM）4例（14．8％），眼眶骨折3例（11．1％）、Brown综合征2例（7．4％）、甲状腺相关眼病2例（7．4％），原因未明的限制性斜视3例（11．1％）。结论（1）限制性斜视以成人多见，不同人群限制性斜视的病因分布不同。（2）被动牵拉试验及影像学检查对鉴别及诊断限制性斜视有重要意义。
목적：탐토한제성사시적병인급분포정황。방법회고성병례연구。대2012지2014년간재무한대학인민의원취진적122례한제성사시환자적림상자료진행분석。료해기병인、사시도수、복시、안구운동、피동견랍시험、영상학진단、혈액생화검사등정황。결과성인한제성사시병인주요위갑상선상관안병（ TAO ）48례（50．5％），기타의차위안광골절25례（26．3％）、고도근시상관성내사시7례（7．4％）、시망막탈리술후5례（5.3％）。인동한제성사시병인주요위Duane（안구후퇴종합정）13례（48．1％），기차위선천성안외기섬유화종합정（CFEOM）4례（14．8％），안광골절3례（11．1％）、Brown종합정2례（7．4％）、갑상선상관안병2례（7．4％），원인미명적한제성사시3례（11．1％）。결론（1）한제성사시이성인다견，불동인군한제성사시적병인분포불동。（2）피동견랍시험급영상학검사대감별급진단한제성사시유중요의의。
Objective To investigate the etiology and distribution characters of restricted strabismus.Methods Author analyzed the clinical data from 122 cases of patient with restricted strabismus diagnosed in People’s Hospital of Wu-han University from 2012 to 2014.Author studied etiology, degrees of strabismus, presence of binocular diplopia, eye movement, results of forced traction test, imaging results (MRI/CT), and blood test results.Results (1) Etiologies:In 95 adults, main causes were thyroid associated ophthalmopathy ( n =48, 50.5%), orbital fracture ( n =25, 26.3%), myopic strabismus ( n =7, 7.4%), constant strabismus following retina surgery ( n =5, 5.3%).In 27 children, main causes were Duane ( n =13, 48.1%), CFEOM ( n =4, 14.8%), orbital fracture ( n =3, 11.1%), thyroid associat-ed ophthalmopathy ( n =2, 7.4%), Brown syndrome ( n =2, 7.4%), and unknown causes ( n =3, 11.1%).Con-clusion Restricted strabismus is more common in adults.The etiology is different in children and in adult.Multiple meth-ods should be used to identify and diagnose the restricted strabismus and to choose the best treatment.