Midgard Rune, Seland Johan H, Hovdal Harald, Celius Elisabeth Gulowsen, Eriksen Ketil, Jensen Ditlev, Heger Hilde, Mellgren Svein Ivar, Wexler Alexandra, Beiske Antonie Giaever, Myhr Kjell-Morten
Nevrologisk avdeling, Molde sjukehus, 6407 Molde.
Tidsskr Nor Laegeforen. 2005 Feb 17;125(4):425-8.
A national group of neurologists and ophthalmologists have evaluated guidelines and recommendations for diagnosis, treatment and follow up of optic neuritis based on clinical experience and a review of relevant literature. Optic neuritis is a common, well characterised condition that appears as an isolated syndrome or as a manifestation of multiple sclerosis. Several other diseases must be considered for a differential diagnosis. Corticosteroid treatment of optic neuritis has been investigated in a number of trials, which show that corticosteroid treatment speeds up the recovery of vision without affecting the final visual outcome. The diagnostic procedure and the treatment options have changed over the last few years. Some aspects of investigation, treatment and follow up are still controversial.
一个全国性的神经科医生和眼科医生团队根据临床经验及相关文献综述,对视神经炎的诊断、治疗和随访指南与建议进行了评估。视神经炎是一种常见且特征明确的病症,可表现为孤立综合征或作为多发性硬化的一种表现形式。进行鉴别诊断时必须考虑其他几种疾病。多项试验对视神经炎的皮质类固醇治疗进行了研究,结果表明皮质类固醇治疗可加快视力恢复,且不影响最终视力结果。在过去几年中,诊断程序和治疗选择发生了变化。调查、治疗和随访的某些方面仍存在争议。