Mitchell D J, Steahly L P
Division of Ophthalmology, Southern Illinois University School of Medicine, Springfield 62794.
Retina. 1989;9(2):115-7. doi: 10.1097/00006982-198909020-00008.
The most common indications for treatment of patients with pseudotumor cerebri are the presence of severe intractable headaches and evidence of optic neuropathy. The role of the ophthalmologist in following patients with pseudotumor cerebri has been to document optic nerve dysfunction in terms of visual field abnormalities or loss of visual acuity. Macular changes have been described in association with papilledema. A case of pseudotumor cerebri and associated macular disease is reviewed to call attention to the need for the ophthalmologist to differentiate between visual loss secondary to optic neuropathy from that of macular disease. The case illustrates how quickly macular disease can develop. The management of patients with pseudotumor cerebri is discussed.
治疗假性脑瘤患者最常见的指征是存在严重的顽固性头痛和视神经病变的证据。眼科医生在随访假性脑瘤患者时的作用是根据视野异常或视力丧失记录视神经功能障碍。黄斑改变已被描述为与视乳头水肿有关。本文回顾了一例假性脑瘤及相关黄斑疾病的病例，以提醒眼科医生注意需要区分视神经病变继发的视力丧失和黄斑疾病导致的视力丧失。该病例说明了黄斑疾病发展得有多快。本文还讨论了假性脑瘤患者的管理。
