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[由神经原因导致的短暂性视力丧失]

[Transient visual loss due to neurological cause].

作者信息

Sîrbu Carmen-Adella, Constantin Camelia, Sîrbu Octavian-Mihai

机构信息

Suumcb Carol Davila, Bucureşti-Neurologie.

出版信息

Oftalmologia. 2011;55(1):3-9.

Abstract

Acute decrease of mono or binocular vision although it is not a common clinical symptom, is of major importance, with serious implications for the patient and physician, requiring a comprehensive approach in terms of clinical, laboratory and therapeutic. It is an attempt that often proves difficulty by lack of access to specific investigations and the lack of neuroophthalmology specialists. In most cases, the sudden decrease of vision occurs in the stroke of the eye by occlusion of central retinal artery or one of its branch, occlusion of vein, occlusion of optic nerve vessels or by demyelinating processes of the optic nerve. Rapid diagnosis of eye disease by appropriate clinical or paraclinical investigations, leads to prompt treatment with decreased risk of complications, but in many cases it requires preventive measures.

摘要

单眼或双眼视力急性下降虽然不是常见的临床症状,但却至关重要,对患者和医生都有严重影响,需要在临床、实验室及治疗方面采取综合方法。由于缺乏特定检查手段以及神经眼科专家,这种尝试往往困难重重。在大多数情况下,视力突然下降是由视网膜中央动脉或其分支之一的阻塞、静脉阻塞、视神经血管阻塞或视神经脱髓鞘病变引起的眼部中风所致。通过适当的临床或辅助检查快速诊断眼部疾病,可及时进行治疗并降低并发症风险,但在许多情况下还需要采取预防措施。

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