Beisse F, Beisse C, Lagrèze W A, Rüther K, Schiefer U, Wilhelm H
Universitäts-Augenklinik, Im Neuenheimer Feld 400, 69120, Heidelberg, Deutschland,
Ophthalmologe. 2014 Aug;111(8):722-6. doi: 10.1007/s00347-013-2983-y.
The diagnostics and therapy of optic neuritis are complex and require interdisciplinary cooperation.
Compact, up-to-date recommendations for the clinician appear to be desirable.
A selective literature search including the authors' professional experience was carried out. An algorithm for the practical approach to optic neuritis was derived from the best available evidence.
Our recommendation distinguishes between compulsory and optional investigations. Differential diagnostic cues with regard to atypical optic neuritis and other optic neuropathies are shown. Standard therapy patterns and means of escalation are suggested. Indications for referral are presented.
The algorithm suggested in this article provides ophthalmologists with an effective orientation aid for the complete treatment procedure of optic neuritis.
视神经炎的诊断和治疗较为复杂,需要多学科合作。
为临床医生提供简洁、最新的建议似乎很有必要。
进行了选择性文献检索,包括作者的专业经验。从现有最佳证据中得出了一种视神经炎实际诊疗方法的算法。
我们的建议区分了强制性和可选性检查。展示了非典型视神经炎和其他视神经病变的鉴别诊断线索。提出了标准治疗模式和升级治疗方法。给出了转诊指征。
本文提出的算法为眼科医生对视神经炎的完整治疗过程提供了有效的指导帮助。