Departments of Ophthalmology and Visual Sciences and Neurology, University of Michigan, Ann Arbor, Michigan, USA.
Semin Neurol. 2010 Feb;30(1):44-50. doi: 10.1055/s-0029-1244997. Epub 2010 Feb 1.
The clinician who is evaluating a patient with visual loss faces a large initial differential diagnosis. By taking a systematic approach to the history of the present illness, including reviewing systems, examination, and subsequent testing, several potential pitfalls will be avoided, and a brief differential diagnosis list can be generated. This article uses illustrative cases to present a variety of history, examination, and testing pearls for diagnosing the source of visual loss.
评估视力丧失患者的临床医生面临着大量的初始鉴别诊断。通过对现病史进行系统的评估,包括回顾系统病史、检查和后续的检查,将避免一些潜在的陷阱,并生成一个简短的鉴别诊断列表。本文通过举例说明的病例,介绍了诊断视力丧失来源的各种病史、检查和检查要点。