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[青少年正常眼压性青光眼的鉴别诊断]

[Differential diagnosis of juvenile normal pressure glaucoma].

作者信息

Geidel K, Wiedemann P, Unterlauft J D

机构信息

Klinik und Poliklinik für Augenheilkunde, Universitätsklinikum Leipzig AöR, Liebigstr. 10-14, 04103, Leipzig, Deutschland.

出版信息

Ophthalmologe. 2017 Sep;114(9):828-831. doi: 10.1007/s00347-016-0407-5.

Abstract

The case of a 50-year-old female patient with autosomal dominant optic atrophy is described, which was initially misinterpreted and treated as normal pressure glaucoma. Bilateral partial optic atrophy can be diagnosed by chance with mild manifestation of symptoms and can initially be misinterpreted as glaucoma. Taking a detailed medical history and performing a thorough optic nerve head examination can raise the suspicion of hereditary optic atrophy. The reliable detection of autosomal dominant optic atrophy by genetic investigations should be strived for in such cases.

摘要

本文描述了一名50岁常染色体显性遗传性视神经萎缩女性患者的病例,该病例最初被误诊并当作正常眼压性青光眼进行治疗。双侧部分视神经萎缩症状轻微,可能偶然被诊断出来,最初可能被误诊为青光眼。详细询问病史并对视神经乳头进行全面检查,可提高对遗传性视神经萎缩的怀疑。在此类病例中,应努力通过基因检测可靠地诊断常染色体显性遗传性视神经萎缩。

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