CAJ | 학술논문

特发性颅内压增高症是神经眼科常见的慢性致盲性疾病,眼部临床表现为视乳头水肿及视野缺损.目前临床诊断主要依赖腰椎穿刺、实验室及影像学检查.鉴于这些诊断方法的局限性,近年随着诊断技术的发展,相干光断层成像术、B型超声等新型非侵入性定量手段相继应用于该疾病的早期诊断及疗效监测.临床数据证实这些新型检查方法客观、安全、有效.本文就眼科诊断技术在特发性颅内压增高症的早期诊断及疗效评估方面的应用价值进行总结和综述.
특발성로내압증고증시신경안과상견적만성치맹성질병,안부림상표현위시유두수종급시야결손.목전림상진단주요의뢰요추천자、실험실급영상학검사.감우저사진단방법적국한성,근년수착진단기술적발전,상간광단층성상술、B형초성등신형비침입성정량수단상계응용우해질병적조기진단급료효감측.림상수거증실저사신형검사방법객관、안전、유효.본문취안과진단기술재특발성로내압증고증적조기진단급료효평고방면적응용개치진행총결화종술.
Idiopathic intracranial hypertension (IIH) is a common neuro-ophthalmologic disorder which leads to significant visual impairment.Clinically,visual manifestation secondary to increased intracranial hypertension generally shows papilledema and the progressive visual impairment subsequently.IIH is a diagnosis of exclusion.The methods include lumber puncture (LP),laboratory tests and imaging examination.However,those methods do limit in evaluation and follow-up in IIH.Currently,with the development of diagnostic technology in ophthalmology,Optical Coherence Tomography and B-scan ultrasound have been employed to estimate intracranial hypertension not only in early diagnosis,but also in long-term follow-up examination.The goal of this review is to sumarize the value of various ophthalmologic methods in evaluation and management of IIH.