Miller N R, Solomon S
Neuro-Ophthalmology Unit, Johns Hopkins Hospital, Baltimore, Maryland.
Aust N Z J Ophthalmol. 1991 May;19(2):105-9. doi: 10.1111/j.1442-9071.1991.tb00636.x.
Fifteen patients are described in whom the triad of blindness, optic disc swelling followed by optic atrophy, and optociliary shunt veins occurred. The causes of the syndrome included spheno-orbital meningioma, optic nerve glioma, meningocele of the optic nerve, and chronic papilloedema. It is postulated that chronic compression of the intraorbital portion of the optic nerve produces gradual obstruction of the central retinal vein, thus preventing the normal passage of venous blood from the retina through the central retinal vein to the cavernous sinus. Optociliary veins are a pre-existing shunt system that allows retinal venous blood to bypass the central retinal vein and exit from the orbit via the choroidal circulation and its anastomoses.
本文描述了15例出现失明、视盘肿胀继以视神经萎缩以及视神经睫状静脉三联征的患者。该综合征的病因包括蝶眶脑膜瘤、视神经胶质瘤、视神经脑膜膨出和慢性视乳头水肿。据推测，视神经眶内段的慢性压迫导致视网膜中央静脉逐渐阻塞，从而阻止静脉血从视网膜正常通过视网膜中央静脉流入海绵窦。视神经睫状静脉是一个预先存在的分流系统，它允许视网膜静脉血绕过视网膜中央静脉，通过脉络膜循环及其吻合支从眼眶流出。
