[单侧视盘水肿：52例患者的回顾性研究]

[Unilateral optic disc edema: retrospective study of fifty-two patients].

作者信息

Tournaire-Marques E, Rougier M-B, Delyfer M-N, Korobelnik J-F

机构信息

Unité rétine, uvéites, neuro-ophtalmologie, service d'ophtalmologie, hôpital Pellegrin, CHU de Bordeaux, place Amélie-Raba-Léon, 33076 Bordeaux cedex, France.

出版信息

J Fr Ophtalmol. 2012 Nov;35(9):678-83. doi: 10.1016/j.jfo.2011.10.013. Epub 2012 Sep 19.

DOI:10.1016/j.jfo.2011.10.013

PMID:22999650

Abstract

PURPOSE

To study the epidemiologic and clinical characteristics of patients with unilateral optic disc edema diagnosed in the emergency room (ER).

PATIENTS AND METHODS

Retrospective observational study of all cases of unilateral optic disc edema seen in the ophthalmology ER of Bordeaux University Hospital, France, between October 1, 2008 and October 31, 2009.

RESULTS

Fifty-two patients with unilateral optic disc edema were studied, including 61.5% women (n=32) and 38.5% men (n=20). Mean age was 53.5 years (± 22.9). Male patients were older than female (61.1 years vs 48.7 years, P=0.05). Final diagnosis was anterior ischemic optic neuropathy (27 cases), papillitis (17 cases), papilledema (three cases), and pseudoedema (two cases). No etiologies were identified for the remaining three patients.

CONCLUSION

Our study discusses the diagnostic approach for patients presenting with unilateral optic disc edema; this discussion may help to improve clinical practice.

摘要

目的

研究在急诊室（ER）诊断出的单侧视盘水肿患者的流行病学和临床特征。

患者与方法

对2008年10月1日至2009年10月31日期间在法国波尔多大学医院眼科急诊室见到的所有单侧视盘水肿病例进行回顾性观察研究。

结果

研究了52例单侧视盘水肿患者，其中女性占61.5%（n = 32），男性占38.5%（n = 20）。平均年龄为53.5岁（±22.9）。男性患者比女性患者年龄大（61.1岁对48.7岁，P = 0.05）。最终诊断为前部缺血性视神经病变（27例）、视乳头炎（17例）、视乳头水肿（3例）和假性水肿（2例）。其余3例患者未查明病因。