在患有显著视力受损的患者中,光盘胀的原因
Bhadra U Pandya1, Aaditeya Jhaveri, Farooq Shamshad
1Temerty Faculty of Medicine (BUP, AJ), University of Toronto, Toronto, Canada ; Faculty of Medicine (FS), University of Alberta, Edmonton, Canada; Department of Ophthalmology and Vision Sciences (EAM, JAM), Faculty of Medicine, University of Toronto, Toronto, Canada; and Kensington Vision and Research Centre (JAM), Toronto, Canada.
概括
视神经炎和非动脉炎前部缺血性视神经病变是严重视力丧失患者视盘胀的主要原因. 这些情况影响神经眼科患者的比例很小.
科学领域:
- 神经眼科神经眼科
- 眼科医生 眼科 眼科
- 神经学 神经学
背景情况:
- 光盘 (ODE) 可以导致显著的视力障碍.
- 识别视力差患者ODE的原因对于及时诊断和治疗至关重要.
研究的目的:
- 确定光盘 (ODE) 在严重视力受损 (BCVA 20/400或更差) 的患者中最常见的原因.
主要方法:
- 在五年内进行了回顾性图表审查.
- 分析了来自第三级神经眼科诊所的连续患者.
主要成果:
- 视神经炎 (ON) 和非动脉炎前部缺血性视神经病变 (NAION) 是严重视力丧失患者中最常见的ODE原因 (每种为40.7%).
- 与NAION相比,视神经炎显示出更好的最终视力敏度结果.
- 年龄影响了ODE的原因,在年轻患者中普遍存在ON,在老年人群中存在NAION/AAION.
结论:
- 视盘与严重的视力丧失占神经眼科病例的不到10%.
- 视神经炎和NAION是这种患者群体中ODE的主要病因.
- 调查结果受样本大小和潜在偏差限制,需要进一步调查.
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