视觉敏度和视野的短期恶化在非动脉炎前部缺血性视觉神经病变中
Heather M McDonald1, Moiz Lakhani2, Angela Kwan2
1From the Department of Ophthalmology and Visual Sciences, University of Toronto (H.M.M., A.H., and E.M.), Toronto, ON, Canada.
American journal of ophthalmology
|August 1, 2024
概括
在急性非动脉炎前部缺血性视神经病变 (NAION) 后进一步的视力损失是常见的. 许多患者在诊断后十周内就会出现明显的视力下降,这凸显了需要仔细监测的必要性.
科学领域:
- 眼科医生 眼科 眼科
- 神经眼科神经眼科
- 视觉神经科学是一种神经科学.
背景情况:
- 非动脉炎前部缺血性视神经病变 (NAION) 是视神经损伤的主要原因.
- 了解NAION的自然史对于患者的管理和预后至关重要.
研究的目的:
- 量化诊断为急性NAION的患者视力恶化的频率和严重程度.
- 为了评估诊断后10周内视觉变化.
主要方法:
- 电子医疗记录的回顾性案例系列分析.
- 纳入标准:急性NAION诊断,在发病后4周内出现,在10周内进行随访.
- 显著下降的定义:BCVA ≥2线或VF MD ≥2dB.
主要成果:
- 分析了49只眼睛,67%是男性,平均年龄为66岁.
- 22%的眼睛显示≥2线BCVA恶化;41%的眼睛出现显著的BCVA或VF下降.
- 显著的视力下降 (≥4或≥8线BCVA,≥4dBVF) 在显著比例的患者中发生.
结论:
- 亚急性视力恶化在NAION患者中常见,这些患者有视觉盘.
- 在10周内视力下降并不排除NAION.
- 只有当临床特征与NAION异常时,才有必要进行进一步的研究.
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