Chen David, Hedges Thomas R
Ophthalmology, New England Medical Center, Tufts University, Boston, MA, USA.
Semin Ophthalmol. 2003 Dec;18(4):169-73. doi: 10.1080/08820530390895163.
The antiarrhythmic agent, amiodarone (Cordone), Pacerone), has been reported to cause optic neuropathy. However, the clinical manifestations are similar to non-arteritic anterior ischemic optic neuropathy (AION), which makes diagnosing amiodarone optic neuropathy difficult. There is controversy whether or not amiodarone optic neuropathy actually exists as a distinct entity. The clinical manifestations and the proposed pathophysiology of amiodarone optic neuropathy are discussed.
抗心律失常药物胺碘酮(可达龙、乙胺碘呋酮)已被报道可引起视神经病变。然而,其临床表现与非动脉炎性前部缺血性视神经病变(AION)相似,这使得胺碘酮所致视神经病变的诊断变得困难。胺碘酮视神经病变是否真的作为一种独立的疾病存在存在争议。本文讨论了胺碘酮视神经病变的临床表现及推测的病理生理学机制。