Hickman Simon J, Raoof Naz, McLean Rebecca J, Gottlob Irene
Department of Neurology, Royal Hallamshire Hospital, Glossop Road, Sheffield S10 2JF, UK.
Department of Ophthalmology, Royal Hallamshire Hospital, Glossop Road, Sheffield S10 2JF, UK.
Mult Scler Relat Disord. 2014 Jan;3(1):3-16. doi: 10.1016/j.msard.2013.04.004. Epub 2013 Jun 6.
Multiple sclerosis can affect vision in many ways, including optic neuritis, chronic optic neuropathy, retrochiasmal visual field defects, higher order cortical processing, double vision, nystagmus and also by related ocular conditions such as uveitis. There are also side effects from recently introduced multiple sclerosis treatments that can affect vision. This review will discuss all these aspects and how they come together to cause visual symptoms. It will then focus on practical aspects of how to recognise when there is a vision problem in a multiple sclerosis patient and on what treatments are available to improve vision.
多发性硬化症可通过多种方式影响视力，包括视神经炎、慢性视神经病变、视交叉后视野缺损、高级皮质处理功能、复视、眼球震颤，以及葡萄膜炎等相关眼部疾病。近期用于治疗多发性硬化症的药物也会产生影响视力的副作用。本综述将探讨所有这些方面，以及它们如何共同导致视觉症状。然后将重点关注如何识别多发性硬化症患者存在视力问题的实际情况，以及有哪些可用的治疗方法来改善视力。
