中华眼视光学与视觉科学杂志
中華眼視光學與視覺科學雜誌
중화안시광학여시각과학잡지
CHINESE JOURNAL OF OPTOMETRY OPHTHALMOLOGY AND VISUAL SCIENCE
2010年
5期
399-400
,共2页
颅内动脉瘤%视神经病变%临床表现
顱內動脈瘤%視神經病變%臨床錶現
로내동맥류%시신경병변%림상표현
Intracranial aneurysm%Optic neuropathy%Clinical features
颅内前交通动脉瘤压迫视神经和视交叉所致的视力下降、视野缺损、视盘水肿、视神经萎缩等表现极易与缺血性视神经病变、视神经炎、正常眼压性青光眼等眼病混淆.对此,我们对其所的视神经病变的临床特征及诊断要点进行分析,强调临床眼科医师应加强学习神经眼科疾病的基础知识,掌握相关疾病之间的关键鉴别点,选用合理的影像学检查手段,及时查明确切病因和病变部位.
顱內前交通動脈瘤壓迫視神經和視交扠所緻的視力下降、視野缺損、視盤水腫、視神經萎縮等錶現極易與缺血性視神經病變、視神經炎、正常眼壓性青光眼等眼病混淆.對此,我們對其所的視神經病變的臨床特徵及診斷要點進行分析,彊調臨床眼科醫師應加彊學習神經眼科疾病的基礎知識,掌握相關疾病之間的關鍵鑒彆點,選用閤理的影像學檢查手段,及時查明確切病因和病變部位.
로내전교통동맥류압박시신경화시교차소치적시력하강、시야결손、시반수종、시신경위축등표현겁역여결혈성시신경병변、시신경염、정상안압성청광안등안병혼효.대차,아문대기소적시신경병변적림상특정급진단요점진행분석,강조림상안과의사응가강학습신경안과질병적기출지식,장악상관질병지간적관건감별점,선용합리적영상학검사수단,급시사명학절병인화병변부위.
There is some confusion between the clinical features of aneurysm in the anterior communicating artery and some eye diseases: ischemic optic neuropathy, retrobulbar optic neuritis,and normal tension glaucoma. This paper summarizes the main points of differentiation in these diseases. The importance of neuro-ophthalmology knowledge should be emphasized and imaging findings should be applied reasonably and promptly in clinical practice.