Roodhooft J M
National Multiple Sclerosis Centre, v.z.w., Steenokkerzeel, Belgium.
Bull Soc Belge Ophtalmol. 2009(313):65-8.
In its early course, multiple sclerosis (MS) manifests in a variety of symptoms so that ophthalmologists should know that the ocular problems are often the first sign of the disease and may predict additional demyelinating events.
The author have reviewed the data in the recent literature about the ocular problems in the early stages of MS.
The initial signs of MS are: optic neuritis (acute, unilateral), blurred vision, diplopia or oscillopsia (illusory visual motion) due to oculomotor disorder, chronic bilateral uveitis, facial palsy (similar to an idiopathic Bell's palsy), paresthesias, numbness or/and pain in one or more areas innervated by the ramifications of the trigeminal nerve.
Ophthalmologists should be aware that these symptoms are suggestive of a demyelinating disease of the central nervous system.
在早期阶段，多发性硬化症（MS）会表现出多种症状，因此眼科医生应了解眼部问题往往是该疾病的首发症状，并且可能预示着更多的脱髓鞘事件。
作者回顾了近期文献中有关MS早期眼部问题的数据。
MS的初始症状包括：视神经炎（急性、单侧）、视力模糊、由于动眼神经障碍导致的复视或视振荡（虚幻的视觉运动）、慢性双侧葡萄膜炎、面瘫（类似于特发性贝尔面瘫）、感觉异常、三叉神经分支所支配的一个或多个区域的麻木或/和疼痛。
眼科医生应意识到这些症状提示中枢神经系统脱髓鞘疾病。
