太多的好事是一件好事
Danny Varghese1, Dina Abdelsalam2, Safa Ibrahim2
1Texas A&M College of Medicine, Bryan, Texas, USA.
Survey of ophthalmology
|January 11, 2026
概括
一名糖尿病患者经历了突然的视力丧失. 视神经胀和白模仿了福斯特·肯尼迪综合征,但被诊断为双边非动脉炎前面缺血性视神经病变 (NAION).
科学领域:
- 眼科医生 眼科 眼科
- 神经学 神经学
- 内分泌学 在内分泌学.
背景情况:
- 一名38岁的男性患有2型糖尿病和高血压,出现了急性视力丧失.
- 眼科发现包括左眼的光盘 (ODE) 和右眼的光盘白 (ODP).
- 双边存在严重的非增殖性糖尿病视网膜病变和囊性黄斑.
研究的目的:
- 为了调查糖尿病和高血压患者视力丧失的原因.
- 为了区分福斯特·肯尼迪综合征和其他视神经病变.
- 确定单侧光盘胀和对侧光盘白的病因.
主要方法:
- 临床眼科检查. 临床眼科检查.
- 神经成像 (MRI/CT) 和系统评估.
- 视神经病变的差异诊断.视神经病变的差异诊断.
主要成果:
- 患者出现了单侧急性视力丧失,光盘胀和对侧光盘白.
- 由于内质量造成的福斯特·肯尼迪综合征最初的怀疑被神经成像排除了.
- 最终的诊断是伪福斯特-肯尼迪综合征,归因于双边非动脉炎前面缺血性视觉神经病变 (NAION),右眼之前未被识别的NAION和左眼的急性NAION.
结论:
- 在糖尿病患者中,单侧光盘胀与对侧光盘白可以代表伪福斯特-肯尼迪综合征.
- 在差异诊断中应考虑非动脉炎前部缺血性视觉神经病变 (NAION),即使是异常呈现.
- 及时和彻底的诊断评估对于准确诊断和视神经病变的管理至关重要.
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