Gay D, Boyer S
Veterans Affairs Illiana Health Care System, Danville, Illinois 61832, USA.
Optometry. 2001 Sep;72(9):588-96.
Optic nerve head drusen was recognized histologically in 1858 by Heinrich Muller The majority of optic nerve head drusen cases have been benign in nature. However, optic nerve head drusen can be visually devastating.
Two patients were diagnosed with optic nerve head drusen. They were similar in age and each had a best-corrected visual acuity of 20/20 OU. Although the diagnosis was the same, the disease affected each person very differently. One is currently asymptomatic; the other is legally blind secondary to severely constricted visual fields. These cases demonstrate the diversity of visual effects produced by optic nerve head drusen. Appropriate ocular workup, including visual fields, B-scan ultrasonography, computed tomography, and other tests, are presented.
There is no existing treatment for optic nerve head drusen. Proper diagnosis and patient education is the best-available modality of care. Patients need to be aware of potential complications which, while rare, can affect vision. Visual-field testing can aid in monitoring for subtle changes in vision.
1858年，海因里希·米勒通过组织学方法识别出了视乳头玻璃疣。大多数视乳头玻璃疣病例本质上是良性的。然而，视乳头玻璃疣可能会对视功能造成严重损害。
两名患者被诊断为视乳头玻璃疣。他们年龄相仿，双眼最佳矫正视力均为20/20。尽管诊断相同，但疾病对每个人的影响却大不相同。其中一名患者目前无症状；另一名患者因严重的视野缺损而法定失明。这些病例展示了视乳头玻璃疣所产生的视觉效应的多样性。本文介绍了包括视野检查、B超、计算机断层扫描及其他检查在内的适当眼部检查方法。
目前对视乳头玻璃疣尚无有效的治疗方法。正确的诊断和患者教育是现有的最佳治疗方式。患者需要了解潜在的并发症，这些并发症虽然罕见，但可能影响视力。视野检查有助于监测视力的细微变化。
