目的:探讨以复视为首发症状的非斜视性复视的病因分布情况。方法:以复视为首发症状的非斜视性复视患者69例,常规检查患者裸眼视力、矫正视力、屈光状态、眼前节及眼底情况,检查患者单眼和双眼的运动情况,检查双眼视功能、同视机检查融合功能、马氏杆检查。根据病史,眼科专科检查,全身相关检查及相关科室会诊意见,分析病因分布情况。结果:集合不足是最多见的原因,集合不足32例,翼状胬肉术后(角膜散光)8例,早期白内障8例,晶状体或人工晶状体半脱位4例,后发性白内障3例,青光眼术后(虹膜根部离断)2例,黄斑前膜2例,视网膜脱离术后2例,玻璃体液化1例,玻璃体后脱离1例,外伤致双瞳1例,病理性高度近视术后1例,原因不明4例。结论:以复视为首发症状的非斜视性复视中,集合不足是最多见的原因。单眼复视和双眼复视比例相当,中青年和老年复视发病比例相当。

AIM:To explore the etiology distribution of non-strabismic diplopia with first symptom of diplopia.METHODS:Non-strabismic diplopia patients (69 cases) with first symptom of diplopia underwent routine examination,uncorrected visual acuity,corrected visual acuity,refractive status,anterior segment and fundus examination.After that,according to the movement examination of monocular and binocular,the binocular visual function,the convergence function by synoptophore,Maddox Rod Test were applied.According to illness history,eye specialist examination,systemic examination and consultations advice,etiology distribution of the disease was analysed.RESULTS:Patients(32 cases) with convergence insuffi-ciency was the most common reason.Corneal astig-matism from pterygium surgery( 8 cases),early cataract(8 cases),lens or artificial lens subluxation (4 cases),after cataract (3 cases),glaucoma (2 cases),macular epiretinal membrane(2 cases),retinal detachment (2 cases),vitreous liquefaction (1 case),posterior vitreous detachment (1 case),double pupils caused by trauma (1 case),postoperative pathologic high myopia (1 case),and unknown reasons (4 cases) were all the causes of this disease.CONCLUSION:In the non-strabismic diplopia with first symptom of diplopia,the convergence insufficiency is the most common etiology.There is similar proportion in the patients of monocular/binocular diplopia and young/age.

R777.42