眼睑闭合不全指上下眼睑不能完全闭合,导致部分眼球暴露,又称兔眼。导致眼睑闭合不全最常见原因为面神经麻痹,其次为瘢痕性睑外翻,另外,眼眶容积与眼球大小的比例失调,全身麻醉或重度昏迷时均可发生眼睑闭合不全。少数正常人睡眠时,睑裂也有一缝隙,但角膜不会暴露,称为生理性兔眼。眼睑闭合不全轻者引起结膜充血、干燥、肥厚和过度角化。重者因角膜暴露,表面无泪液湿润而干燥,导致暴露性角膜炎。通常,根据眼部临床表现,眼睑闭合不全诊断并不困难。治疗方面,首先针对病因,轻者保守,重者必要时手术。...
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