Voros Gerasimos M, Sandhu Sukhpal S, Pandit Ranjeet
Department of Ophthalmology, Royal Victoria Infirmary, Newcastle upon Tyne, UK.
Ophthalmologica. 2006;220(6):400-5. doi: 10.1159/000095869.
Although acute optic neuropathy has been rarely reported in patients with Behçet's disease, a detailed description of its clinical course is lacking. We report in detail the course of acute optic neuropathy in two patients with Behçet's disease. Our experience suggests that it can be bilateral, can affect both eyes simultaneously, and can be recurrent. The severity of the visual loss and its recovery can be very variable even in the same patient. Early recognition of this entity and treatment with high-dose systemic corticosteroids may limit the degree of permanent visual loss. However, the optimal treatment has not been established.
虽然白塞病患者中急性视神经病变鲜有报道,但缺乏对其临床病程的详细描述。我们详细报告了两名白塞病患者的急性视神经病变病程。我们的经验表明,它可能是双侧的,可同时累及双眼,且可能复发。即使在同一患者中,视力丧失的严重程度及其恢复情况也可能差异很大。早期识别这一病症并使用大剂量全身性皮质类固醇进行治疗可能会限制永久性视力丧失的程度。然而,最佳治疗方案尚未确立。