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目的探讨鞍区肿瘤合并近视患者的早期眼科表现,为临床诊治提供借鉴。方法回顾分析16例首诊于眼科的鞍区肿瘤合并近视患者的视力、视野、眼底等眼科特征。结果 16例初诊,15眼(占46.88%)视力低于0.1,16例均出现视野缺损,但仅5例(占31.25%)呈典型的视交叉性单、双颞侧偏盲,23眼(占71.88%)出现不同程度视盘苍白,首诊误诊为单纯近视者9例(占56.25%)。结论鞍区肿瘤合并近视患者眼科症状较严重,容易误诊,预后不佳。
Objective To investigate the early ophthalmologic manifestations of sellar tumors in patients with myopia and provide references for clinical diagnosis and treatment. Methods A retrospective analysis of 16 cases of first diagnosed in ophthalmological saddle area combined with myopia of patients with visual acuity, visual field, fundus and other ophthalmic features. Results The visual field defect was found in 16 cases of newly diagnosed and 15 eyes (46.88%) with visual acuity of less than 0.1 and 16 cases. However, only 5 cases (31.25%) showed typical optic chiasm, bilateral temporal hemianopia and 23 eyes (accounting for 71.88%) showed varying degrees of optic disc pale, the first clinic misdiagnosed as simple myopia in 9 cases (56.25%). Conclusion The patients with sellar tumors and myopia have more severe ophthalmic symptoms, which are easily misdiagnosed and have poor prognosis.