Cooper S A, Metcalfe R A
Specialist Registrar in Neurology, Institute of Neurological Sciences, Southern General Hospital, Glasgow, UK.
Pract Neurol. 2009 Dec;9(6):324-34. doi: 10.1136/jnnp.2009.193920.
Understanding and applying a bedside visual field assessment is an important skill for the neurologist. By appreciating some basic anatomical and physiological principles it is possible to target the examination appropriately, thus gaining important diagnostic information with the minimum of fuss. Specific patterns of visual loss are caused by damage at various sites within the visual pathway. This review focuses on techniques that can be used at the bedside to identify common visual field defects and cites examples by dividing the visual system into its component parts. We urge the use of an appropriately sized red pin and berate the well worn "waggling finger" technique.
对于神经科医生而言,理解并应用床旁视野评估是一项重要技能。通过了解一些基本的解剖学和生理学原理,就能恰当地进行检查,从而轻松获取重要的诊断信息。视觉通路不同部位受损会导致特定的视力丧失模式。本综述重点介绍可在床旁用于识别常见视野缺损的技术,并通过将视觉系统分为各个组成部分来举例说明。我们提倡使用尺寸合适的红色大头针,并批评常用的“摆动手指”技术。