Beran David I, Murphy-Lavoie Heather
Emergency Medicine Department, Louisiana State University Health Sciences Center, New Orleans, LA, USA.
J La State Med Soc. 2009 Jul-Aug;161(4):214-6, 218-23.
This article provides a review of various conditions causing sudden, painless vision loss. The conditions of amaurosis fugax, central retinal artery occlusion (CRAO), central retinal vein occlusion (CRVO), vitreous hemorrhage, ischemic optic neuropathies (ION), posterior cerebrovascular accidents, and retinal detachment (RD) are discussed. The history, physical, pathophysiology, and treatment of each disease state are discussed along with possible preventative measures for each. An emphasis is made on early ophthalmologic involvement for potential vision restoration and the importance of a thorough history and physical for all patients with ocular complaints.
本文综述了导致突然无痛性视力丧失的各种病症。讨论了一过性黑矇、视网膜中央动脉阻塞(CRAO)、视网膜中央静脉阻塞(CRVO)、玻璃体积血、缺血性视神经病变(ION)、后脑血管意外和视网膜脱离(RD)等病症。文中讨论了每种疾病状态的病史、体格检查、病理生理学和治疗方法以及针对每种疾病的可能预防措施。重点强调了早期眼科介入以恢复潜在视力的重要性,以及对所有有眼部症状患者进行全面病史询问和体格检查的重要性。