Cox T A
Department of Ophthalmology, University of British Columbia, Vancouver.
Can J Ophthalmol. 1989 Aug;24(5):207-10.
Relative afferent pupillary defects were found in 69 of 386 patients (18%) seen by the author at the University of British Columbia Multiple Sclerosis Clinic between Feb. 1, 1985, and Apr. 30, 1987. Pupil defects were more common in patients with clinically definite multiple sclerosis, those with recent or unilateral optic neuritis and those with unilateral or asymmetric optic atrophy. A relative afferent pupillary defect was found in 15 patients with no history of optic neuritis, 5 patients with no optic atrophy and 2 patients with normal visual evoked potentials. The frequency of relative afferent pupillary defects after optic neuritis in this group of patients was much lower than that found in a previous study of patients who presented with optic neuritis.
1985年2月1日至1987年4月30日期间，作者在英属哥伦比亚大学多发性硬化症诊所诊治的386例患者中，有69例（18%）发现存在相对性传入性瞳孔障碍。瞳孔障碍在临床确诊的多发性硬化症患者、近期或单侧视神经炎患者以及单侧或不对称性视神经萎缩患者中更为常见。在15例无视神经炎病史、5例无视神经萎缩以及2例视觉诱发电位正常的患者中也发现了相对性传入性瞳孔障碍。该组患者视神经炎后相对性传入性瞳孔障碍的发生率远低于先前对视神经炎患者的研究结果。
