疑似乳头炎的咨询日益增加:临床和神经眼科的见解
Serife Ciloglu Hayat1, Yusuf Cem Yilmaz2, Kerem Davulcu2
1University of Health Sciences, Basaksehir Cam and Sakura City Hospital, Department of Ophthalmology, Istanbul, Turkey., Basaksehir Cam and Sakura City Hospital, Basaksehir Olympic Boulevard Road, 34480, Basaksehir/Istanbul, Turkey. serifeciloglu@gmail.com.
International ophthalmology
|June 5, 2025
概括
乳头发疹影响超过21%的疑似患者,暂时的视力障碍是关键症状. 准确的诊断至关重要,因为乳头炎可以表明严重的疾病,如脑瘤.
科学领域:
- 眼科医生 眼科 眼科
- 神经学 神经学
背景情况:
- 乳头,或视觉盘胀,是增加内压力的关键迹象.
- 正确的诊断是必不可少的,因为它可能与严重的神经疾病有关.
研究的目的:
- 为了确定患有这种病症的怀疑患者的乳头发疹发疹的患病率.
- 为了识别与内压力升高和 papilledema.相关的症状.
主要方法:
- 514名患者的回顾性审查,他们因怀疑 papilledema而被转诊.
- 评估包括视力敏度,眼底镜,视野测试和OCT-RNFL.
- 对人口统计数据,症状和诊断结果的分析.
主要成果:
- 在21.2%的患者中诊断出乳头;最常见的是异常性内高血压.
- 过渡性视觉遮蔽 (TVO) 与皮肤有很强的相关性 (p < 0.001).
- 异常的视野发生在36.4%的有正常视力敏度的乳头发疹患者中;RNFL厚度增加.
结论:
- 乳头发疹查至关重要,特别是在出现TVO等症状时.
- 仅仅视力敏度不足以诊断;视野测试和RNFL评估很重要.
- 及时诊断至关重要,因为它与内瘤和血栓形成等危及生命的疾病有关.
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