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[视神经炎:从眼科角度看]

[Optic nerve neuritis: from an ophthalmological perspective].

作者信息

Steffen H

机构信息

Schielbehandlung und Neuroophthalmologie, Universitäts-Augenklinik Würzburg, Josef Schneider Str. 11, 97080, Würzburg, Deutschland,

出版信息

Nervenarzt. 2013 Dec;84(12):1525-34; quiz 1535-6. doi: 10.1007/s00115-013-3943-0.

Abstract

Optic nerve neuritis is one of the most important differential diagnoses of visual loss in young and middle aged adults. The prognosis in terms of functional outcome is generally good. The diagnosis of optic neuritis is clinical. Steroids can reduce the recovery time but do not affect the long-term functional outcome. Magnetic resonance imaging (MRI) is the most important investigation for assessing an associated risk of multiple sclerosis. Optical coherence tomography (OCT) contributes additional details on the course and functional outcome of optic neuritis. In the future OCT may additionally contribute to the relationship between optic neuritis and possible associated multiple sclerosis.

摘要

视神经炎是中青年视力丧失最重要的鉴别诊断之一。就功能预后而言,通常预后良好。视神经炎的诊断依靠临床判断。类固醇可以缩短恢复时间,但不影响长期功能预后。磁共振成像(MRI)是评估多发性硬化症相关风险的最重要检查。光学相干断层扫描(OCT)有助于进一步了解视神经炎的病程和功能预后。未来,OCT可能会进一步揭示视神经炎与可能相关的多发性硬化症之间的关系。

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