Rucker Janet C, Biousse Valérie, Newman Nancy J
Departments of Neurology and Ophthalmology, Case Western Reserve School of Medicine, Cleveland, Ohio, USA.
Curr Opin Neurol. 2004 Feb;17(1):27-35. doi: 10.1097/00019052-200402000-00006.
To review recent clinical data on ischemic optic neuropathies, which are some of the most frequently encountered optic neuropathies. These disorders include nonarteritic anterior ischemic optic neuropathy, arteritic anterior ischemic optic neuropathy, and posterior ischemic optic neuropathy.
Recent studies have facilitated our understanding of the natural history of visual loss, recovery, and recurrence in these disorders. Additionally, the value of various diagnostic techniques and treatment options, particularly for arteritic anterior ischemic neuropathy, has been clarified.
Application of the studies described in this paper should allow the clinician to more accurately diagnose ischemic optic neuropathies and counsel the patient with regard to appropriate management, prognosis for visual recovery and future risk of recurrence.
回顾缺血性视神经病变的近期临床数据,缺血性视神经病变是最常见的视神经病变类型。这些疾病包括非动脉炎性前部缺血性视神经病变、动脉炎性前部缺血性视神经病变和后部缺血性视神经病变。
近期研究有助于我们了解这些疾病中视力丧失、恢复和复发的自然病程。此外,各种诊断技术和治疗方案的价值,特别是对于动脉炎性前部缺血性神经病变,已经得到明确。
本文所述研究的应用应使临床医生能够更准确地诊断缺血性视神经病变,并就适当的管理、视力恢复的预后和未来复发风险向患者提供咨询。