颈性视力障碍60例临床分析

Clinical Analysis of 60 Cases of Cervical Visual Impairment

目的:探讨颈性视力障碍的临床特点。方法:总结我科近10年来收治的60例颈性视力障碍。结果:视物模糊38例,视力下降16例,眼球胀痛16例,复视5例,畏光流泪11例,视野缺损6例。此种视力障碍有时与头颈部姿势的改变有明显关系,部分病例的视力障碍在头颈部处于某种特定姿势时加重,而处于另一种姿势时视力障碍可能减轻或消失,有的患者则呈强迫头位,经眼科检查无明显器质性改变,给予相应眼药治疗无明显效果。结论:按颈椎病治疗,视力障碍可改善,颈性视力障碍大部分预后良好。

Purpose: To investigate the neck the clinical characteristics of visual impairment. Methods: 60 cases of cervical visual impairment in our department in the past 10 years were summarized. Results: There were 38 cases of blurred vision, 16 cases of impaired vision, 16 cases of eyeball swelling, 5 cases of diplopia, 11 cases of photophobia and 6 cases of visual field defect. This kind of visual impairment sometimes has an obvious relationship with the change of the head and neck posture. In some cases, the visual impairment worsens when the head and neck are in a particular position, while in the other position the impairment may lessen or disappear. Some patients tend to force the head, and have no obvious organic changes after ophthalmological examination. When given corresponding ophthalmic treatment, there is no obvious effect. Conclusion: According to the treatment of cervical spondylosis, visual impairment can be improved, and most cervical visual impairment has a good prognosis.