Macarie-Simion S
Catedra de Oftalmologie, U.M.F. Iuliu Haţieganu, Cluj-Napoca.
Oftalmologia. 2000;52(3):38-40.
The article presents a study on 82 patients hospitalized in the Clinic of Ophthalmology of Cluj-Napoca, during 1993-1999, with anterior ischaemic optic neuropathy (AION). There are presented the clinical and functional aspects of AION, especially the importance of static perimetry (PS) for the diagnosis, and her superiority, compared with the dynamic perimetry, in the monitoring of the patients with chronic nerve head ischaemia. After treatment, 32.9% of the cases have a favorable evolution, but PS reveals sequela visual field defects at all eyes which suffered AION. Long-term monitoring of the patients reveals unfavorable evolution at mare than 85% of cases, because of the chronic residual ischaemia, characterised by decreasing of visual capacity in PS. According with this findings, static perimetry has a important role in the diagnosis of AION, in revealing of the sequela defects and in the monitoring of the patients.
本文介绍了一项针对1993年至1999年期间在克卢日-纳波卡眼科诊所住院的82例前部缺血性视神经病变(AION)患者的研究。文中阐述了AION的临床和功能方面,尤其是静态视野检查(PS)在诊断中的重要性,以及与动态视野检查相比,其在监测慢性视盘缺血患者方面的优势。治疗后,32.9%的病例病情好转,但PS显示所有患AION的眼睛均有视野缺损后遗症。对患者的长期监测显示,超过85%的病例病情发展不利,原因是慢性残余缺血,其特征是PS中的视力下降。根据这些发现,静态视野检查在AION的诊断、后遗症缺陷的揭示以及患者的监测中具有重要作用。