摘要
３３例因鼻源性疾病引起的眼部并发症中，眼球突出３１例，复视１８例，视力障碍（失明，光感、视力下降）１０例，主要采取鼻外及鼻窦内窥镜下手术治疗。结果显示：术后眼球突出２８例恢复原位（９０．３％），１８例复视消失（１００％）；视力障碍１０例中５例视力恢复至０．６～０．８，１例光感恢复至１ｍ指数，１例术前失明恢复至光感，３例治疗无效。表明鼻部病变导致视力障碍的发病率在鼻眼相关疾病中较高，积极治疗鼻部原发病灶，特别是尽早对外伤引起的眶及筛蝶窦血肿进行手术。
Thirty three cases of eye complication are originated in
nose disease,of them 31 cases showed exophthalmus,18 cases with diplopia,10 cases with
blindness,light sensation and vision declining.Extranasal and intranasal operation were used
with endoscope.The result indicated that 28 cases(90.3%)got reposition,18 cases got diplopia
vanished(100%),5 cases improved vision to 0.6 0.8,1 case recovered light sensation to lm
finger digit,1 case got light sensation,and 3 cases failed(30%).This draws a conclusion that the
rate of failing vision caused by morbidity of nasal disease is rather high in the
EDON,therefore,it is necessary to treat original fucus of nose and the hematoma of orbit and
ethmosphenoid sinus early.
