中华眼底病杂志
中華眼底病雜誌
중화안저병잡지
CHINESE JOURNAL OF OCULAR FUNDUS DISEASES
2012年
6期
606-609
,共4页
杨晖%王伟%龙云峰%易长贤%张秀兰
楊暉%王偉%龍雲峰%易長賢%張秀蘭
양휘%왕위%룡운봉%역장현%장수란
视力,低%眼疾病/分类%预后
視力,低%眼疾病/分類%預後
시력,저%안질병/분류%예후
Vision,low%Eye diseases/classification%Prognosis
目的 观察眼底内科住院的非手术和外伤的无光感眼病种构成及其视力恢复情况.方法 在眼底内科住院治疗的无光感患者367例430只眼纳入研究.所有患者经暗室手电光检查结合瞳孔对光反射检查确定视力为无光感.其中,男性208例235只眼,女性159例195只眼.双眼63例126只眼,单眼304例304只眼.单眼患眼中,右眼159只,左眼145只.年龄2.50～86.00岁,平均年龄(40.85±18.03)岁.观察患眼的病种构成.针对不同病种对患者进行相应治疗,观察出院时患者的视力恢复情况.结果 430只患眼中,视神经炎157只眼,占36.5％；葡萄膜炎68只眼,占15.8％；视网膜血管性疾病54只眼,占12.6％；缺血性视神经病变35只眼,占8.1％；外伤性视神经病变29只眼,占6.7％；视神经萎缩28只眼,占6.5％；眼球外伤18只眼,占4.2％；放射性视神经病变17只眼,占4.0％；青光眼10只眼,占2.3％；视网膜脱离5只眼,占1.2％；压迫性视神经病变4只眼,占0.9％；眶尖综合征2只眼,占0.5％；癔症2只眼,占0.5％；眶蜂窝织炎1只眼,占0.2％.经住院积极治疗后,视力仍为无光感269只眼,占62.6％；视力恢复至光感及以上161只眼,占37.4％.视力恢复至光感及以上的161只眼中,视力光感～＜0.02者74只跟,占总患眼的17.2％；≥0.02～＜0.05者25只眼,占总患眼的5.8％；≥0.05～＜0.1者14只眼,占3.3％；≥0.1～＜0.3者11只眼,占2.6％；≥0.3者37只眼,占8.6％.结论 非手术和外伤的无光感眼主要为累及视网膜和视神经的病变所致.经积极住院治疗后可使部分患眼视力恢复至光感及以上.
目的 觀察眼底內科住院的非手術和外傷的無光感眼病種構成及其視力恢複情況.方法 在眼底內科住院治療的無光感患者367例430隻眼納入研究.所有患者經暗室手電光檢查結閤瞳孔對光反射檢查確定視力為無光感.其中,男性208例235隻眼,女性159例195隻眼.雙眼63例126隻眼,單眼304例304隻眼.單眼患眼中,右眼159隻,左眼145隻.年齡2.50～86.00歲,平均年齡(40.85±18.03)歲.觀察患眼的病種構成.針對不同病種對患者進行相應治療,觀察齣院時患者的視力恢複情況.結果 430隻患眼中,視神經炎157隻眼,佔36.5％；葡萄膜炎68隻眼,佔15.8％；視網膜血管性疾病54隻眼,佔12.6％；缺血性視神經病變35隻眼,佔8.1％；外傷性視神經病變29隻眼,佔6.7％；視神經萎縮28隻眼,佔6.5％；眼毬外傷18隻眼,佔4.2％；放射性視神經病變17隻眼,佔4.0％；青光眼10隻眼,佔2.3％；視網膜脫離5隻眼,佔1.2％；壓迫性視神經病變4隻眼,佔0.9％；眶尖綜閤徵2隻眼,佔0.5％；癔癥2隻眼,佔0.5％；眶蜂窩織炎1隻眼,佔0.2％.經住院積極治療後,視力仍為無光感269隻眼,佔62.6％；視力恢複至光感及以上161隻眼,佔37.4％.視力恢複至光感及以上的161隻眼中,視力光感～＜0.02者74隻跟,佔總患眼的17.2％；≥0.02～＜0.05者25隻眼,佔總患眼的5.8％；≥0.05～＜0.1者14隻眼,佔3.3％；≥0.1～＜0.3者11隻眼,佔2.6％；≥0.3者37隻眼,佔8.6％.結論 非手術和外傷的無光感眼主要為纍及視網膜和視神經的病變所緻.經積極住院治療後可使部分患眼視力恢複至光感及以上.
목적 관찰안저내과주원적비수술화외상적무광감안병충구성급기시력회복정황.방법 재안저내과주원치료적무광감환자367례430지안납입연구.소유환자경암실수전광검사결합동공대광반사검사학정시력위무광감.기중,남성208례235지안,녀성159례195지안.쌍안63례126지안,단안304례304지안.단안환안중,우안159지,좌안145지.년령2.50～86.00세,평균년령(40.85±18.03)세.관찰환안적병충구성.침대불동병충대환자진행상응치료,관찰출원시환자적시력회복정황.결과 430지환안중,시신경염157지안,점36.5％；포도막염68지안,점15.8％；시망막혈관성질병54지안,점12.6％；결혈성시신경병변35지안,점8.1％；외상성시신경병변29지안,점6.7％；시신경위축28지안,점6.5％；안구외상18지안,점4.2％；방사성시신경병변17지안,점4.0％；청광안10지안,점2.3％；시망막탈리5지안,점1.2％；압박성시신경병변4지안,점0.9％；광첨종합정2지안,점0.5％；억증2지안,점0.5％；광봉와직염1지안,점0.2％.경주원적겁치료후,시력잉위무광감269지안,점62.6％；시력회복지광감급이상161지안,점37.4％.시력회복지광감급이상적161지안중,시력광감～＜0.02자74지근,점총환안적17.2％；≥0.02～＜0.05자25지안,점총환안적5.8％；≥0.05～＜0.1자14지안,점3.3％；≥0.1～＜0.3자11지안,점2.6％；≥0.3자37지안,점8.6％.결론 비수술화외상적무광감안주요위루급시망막화시신경적병변소치.경적겁주원치료후가사부분환안시력회복지광감급이상.
Objective To observe the etiologies and vision outcomes of inpatients with no light perception (NLP).Methods A total of 367 inpatients (430 eyes) with NLP in Zhongshan Ophthalmic Center were enrolled in this study.The visual acuity examination followed the international standard methods.NLP was detected by torch light in a dark room and the pupil light reflection state was also considered.The patients included 208 males (235 eyes) and 159 females (195 eyes).Sixty-three patients (126 eyes) were bilateral and 304 patients (304 eyes) were unilateral cases including 159 right eyes and 145 left eyes.The patients' ages ranged from 2.5 to 86.0 years,with a mean age of (40.85±18.03) years.All the patients were treated according to their diseases.The ratio of different eye disease and visual outcome were recorded and analyzed.Results Among 430 eyes,there were 157 eyes (36.5％) with optic neuritis,68 eyes (15.8％) with uveitis,54 eyes (12.6％) with retinal vascular disease,35 eyes (8.1％) with ischemic optic neuropathy,29 eyes (6.7％) with traumatic optic neuropathy,28 eyes (6.5％) with optic atrophy,18 eyes (4.2％) with trauma,17 eyes (4.0％) with radiation optic neuropathy,10 eyes (2.3％) with glaucoma,five eyes (1.2％) with retinal detachment,four eyes (0.9％) with compressive optic neuropathy,two eyes (0.5％) with orbital apex syndrome,two eyes (0.5％) with hysteria,and one eye (0.2％) with orbital cellulitis.After active treatment,269 eyes (62.6％) remained NLP, 161 eyes (37.4％) got improved visual acuity,including light perception - 0.02 in 74 eyes (17.2％),≥0.02 - ＜0.05 in 25 eyes (5.8％),≥0.05 - ＜0.1 in 14 eyes (3.3％),≥0.1 - ＜0.3 in 11 eyes (2.6％) and ≥0.3 in 37 eyes (8.6％).Conclusions The main causes of non-surgical and non-trauma NLP are retinal disease and optic neuropathy.Some patients with NLP may restore useful vision if they received prompt referral and active intervention.
