François J
Klin Monbl Augenheilkd. 1975 Jul;167(1):1-18.
Besides the true ischaemias of the optic nerve, which explain the post-haemorrhagic amaurosis, the low tension glaucoma and the open angle glaucoma, there are two varieties of vascular pseudopapillitis. First the variety due to arteriosclerosis, which is characterized by a palid oedema of the disc, followed by optic atrophy, a diminution of the vision field, as well as by signs of arteriosclerosis at the biopsy of the temporal artery. The second variety is the temporal arteritis, which is also characterized by a palid oedema of the disc, followed by optic atrophy, a visual loss, which is often complete, a marked rise of the erythrocyte sedimentation rate and a typical granulomatous arteritis at the biopsy of the temporal artery. These two varieties are due to an involvement either of the short posterior ciliary arteries or of the central vascular or pial system of the optic nerve.
除了可解释出血后黑矇、低眼压性青光眼和开角型青光眼的真正视神经缺血外,还有两种血管性假性视乳头炎。第一种是动脉硬化所致,其特征为视盘苍白水肿,随后出现视神经萎缩、视野缩小,以及颞动脉活检时有动脉硬化迹象。第二种是颞动脉炎,其特征同样为视盘苍白水肿,随后出现视神经萎缩、视力丧失(常为完全性)、红细胞沉降率显著升高,以及颞动脉活检时有典型的肉芽肿性动脉炎。这两种类型是由于睫状后短动脉或视神经的中央血管或软膜系统受累所致。