Hlavácová P, Vlková E
Ocní klinika FN Brno Bohunice.
Cesk Slov Oftalmol. 2009 Oct;65(5):195-8.
The patient (woman), 54 years of age, treated for p-ANCA positive vasculitis, hypertension, and thyroid gland hypofunction was referred to our Department due to the decrease of the visual acuity of her left eye. Since the year 2003, she was followed-up in the Department of Neurology due to the idiopathic intracranial hypertension (the opening pressure of the intracranial liquid was 480 -500 mm of H2O column), treated by acetazolamide tablets (Diluran) 1/2 tablet once daily. She was followed-up for the bilateral persistent papilledema by the local ophthalmologist. Due to the progression of the visual acuity loss the decompression (fenestration) of the optic nerve sheath was performed, and the neurosurgeon recommended the lumbo-peritoneal shunting. Adequate indication and choice of the surgical treatment helped to stabilize visual functions.
该患者为54岁女性，因抗中性粒细胞胞浆抗体（p-ANCA）阳性血管炎、高血压和甲状腺功能减退接受治疗，因左眼视力下降转诊至我科。自2003年起，她因特发性颅内高压（颅内液开放压为480 - 500毫米水柱）在神经科接受随访，每日服用一次乙酰唑胺片（醋氮酰胺）半片进行治疗。当地眼科医生对其双侧持续性视乳头水肿进行随访。由于视力丧失进展，进行了视神经鞘减压（开窗术），神经外科医生建议进行腰大池-腹腔分流术。手术治疗的充分指征和选择有助于稳定视觉功能。
