急性视神经炎:关于方法和管理的最新情况
Sepideh Jamali Dogahe1, Parastou Pakravan2, Mohammad Pakravan3
1Department of Ophthalmology, Mayo Clinic, Rochester, MN, USA.
Journal of ophthalmic & vision research
|January 22, 2024
概括
视神经炎 (ON) 诊断包括体检和测试. 用类固醇和免疫抑制剂及时治疗对于治疗急性视神经炎症和预防视力丧失至关重要,特别是在非典型病例中.
科学领域:
- 神经学 神经学
- 眼科医生 眼科 眼科
- 免疫学 免疫学 免疫学
背景情况:
- 视神经炎 (ON) 是与各种系统和神经疾病相关的视神经炎症.
- 它通常呈现为亚急性,单边,痛苦的视力丧失.
- 分类为典型和非典型的形式是基于临床表现和人口统计学.
研究的目的:
- 审查视神经炎的诊断方法.
- 提供一种最新的急性视神经炎管理方法.
- 强调及时干预对于预防视力丧失的重要性.
主要方法:
- 进行了全面的PubMed数据库搜索.
- 包括英语期刊和最新出版物.
- 73篇文章被纳入叙事综合,在最初选了160篇之后.
主要成果:
- 非典型的视神经炎可能是双边的,存在严重的视力丧失 (<20/200),或具有不寻常的人口统计学特征.
- 非典型ON的差异诊断包括神经髓炎光学谱系障碍 (NMOSD) 和MOGAD.
- 类固醇和免疫抑制剂是主要的治疗方式.
结论:
- 通过体检和特定测试进行准确的诊断对于视神经炎至关重要.
- 早期开始治疗对于维护视力至关重要,特别是在异常呈现时.
- 考虑NMOSD和MOGAD对于非典型的视神经炎病例至关重要.
相关概念视频
Angle Closure Glaucoma: Treatment
500
Angle-closure glaucoma, or closed-angle glaucoma, is an eye condition where the iris bulges out and blocks the iridocorneal angle, resulting in a buildup of aqueous humor and increased intraocular pressure. Immediate medical attention is necessary due to the sudden onset of symptoms. The treatment for angle-closure glaucoma includes short-term and long-term approaches. Short-term treatment involves using eye drops like pilocarpine to lower intraocular pressure by increasing aqueous humor...
500
Open Angle Glaucoma: Treatment
453
In open-angle glaucoma, the iridocorneal angle remains open, but the trabecular meshwork becomes stiff, slowing down the outflow of aqueous humor. This causes a buildup of aqueous humor in the anterior chamber, leading to a sudden increase in intraocular pressure. The treatment for open-angle glaucoma focuses on reducing the elevated intraocular pressure by either decreasing the secretion of aqueous humor or increasing its outflow.
Drugs such as carbonic anhydrase inhibitors, α2- and...
Drugs such as carbonic anhydrase inhibitors, α2- and...
453
Glaucoma: Overview
574
Glaucoma is an eye condition characterized by increased intraocular pressure that damages the retina and optic nerve, leading to irreversible blindness if left untreated. The human eye has various components, including the cornea, iris, pupil, lens, and optic nerve. Aqueous humor is secreted by the epithelium of the ciliary body in the posterior chamber and flows through the trabecular meshwork and canal of Schlemm, maintaining normal intraocular pressure. The trabecular meshwork and the canal...
574


