双侧视盘小疣导致的前部缺血性视神经病变
Bilateral anterior ischaemic optic neuropathy due to optic disc drusen.
作者信息
Kamath G G, Prasad S, Phillips R P
机构信息
Department of Ophthalmology, Arrowe Park Hospital, Upton, Wirral, UK.
出版信息
Eur J Ophthalmol. 2000 Oct-Dec;10(4):341-3. doi: 10.1177/112067210001000414.
PURPOSE
To report a case of bilateral anterior ischaemic optic neuropathy due to buried optic disc drusen.
METHODS
Case report.
RESULTS
A 64-year-old man presented with swollen optic discs and features suggestive of anterior ischaemic optic neuropathy (AION) in the left and right eye on two separate occasions ten months apart. Detailed ocular examination at presentation and systemic investigations did not reveal an underlying cause for the AION. At a later follow-up, optic disc drusen were noted in both eyes as partial optic atrophy had set in. This was confirmed by ultrasound B scan and demonstration of autofluorescence.
CONCLUSIONS
In patients presenting with AION uncommon underlying causes must be considered. Routine ultrasound B scan at presentation can easily establish or exclude optic disc drusen as an underlying cause.
目的
报告一例因隐匿性视盘玻璃疣导致的双侧前部缺血性视神经病变病例。
方法
病例报告。
结果
一名64岁男性在相隔十个月的两次不同时间分别出现左眼和右眼视盘肿胀及提示前部缺血性视神经病变（AION）的特征。就诊时的详细眼部检查和全身检查未发现AION的潜在病因。在随后的随访中，由于出现了部分视神经萎缩，在双眼均发现了视盘玻璃疣。这通过B超扫描和自发荧光检查得以证实。
结论
对于表现为AION的患者，必须考虑罕见的潜在病因。就诊时常规进行B超扫描可轻松确定或排除视盘玻璃疣作为潜在病因。
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