视力丧失是维生素B12缺乏的一个主要症状
Izzati Othman1,2, Evelyn Tai2, Sangeeta Kuganasan1
1Department of Ophthalmology, Hospital Tuanku Jaafar Seremban, Negeri Sembilan, MYS.
Cureus
|June 12, 2024
概括
营养性视神经病变是一种罕见的视力丧失原因,可能是维生素B12缺乏的结果. 早期检测至关重要,尽管慢性病例可能会导致持久的视力损伤.
科学领域:
- 眼科医生 眼科 眼科
- 神经学 神经学
- 营养科学 营养科学
背景情况:
- 营养性视神经病变是一种罕见的代谢性神经病变,导致逐渐的双边视力丧失.
- 维生素B12缺乏会导致胰岛素减肥和神经复杂症,包括视神经病变.
研究的目的:
- 报告一种双边营养性视神经病变的病例,这是由于维生素B12缺乏和全细胞衰竭的次要原因.
- 强调对老年患者进行营养评估的重要性,这些老年患者有不明原因的视力下降.
主要方法:
- 一个65岁妇女的病例报告,她的视力逐渐丧失.
- 临床检查包括视力敏度和眼底镜检查.
- 实验室检查包括完整血清和血清维生素B12水平.
主要成果:
- 患者呈现双边,对称,无痛的视力丧失 (视力敏度1/60).
- 基底镜检查显示了带有减弱血管的白光学光盘.
- 血液测试证实了胰岛素缩小症和严重的维生素B12缺乏.
结论:
- 维生素B12缺乏引起的泛cytopenia可以导致营养视神经病变.
- 及时诊断和治疗至关重要,尽管慢性病例可能导致不可逆转的视力损伤.
- 在有视力障碍和饮食摄入不良的老年患者中,应考虑营养评估.
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