Heller S R, Tattersall R B
Diabet Med. 1987 May-Jun;4(3):260-4. doi: 10.1111/j.1464-5491.1987.tb00876.x.
We describe four young diabetic patients presenting with swelling of one or both optica discs ('papiloedema'). Two were asymptomatic while the others complained of blurred vision. Spontaneous resolution occurred in all within 6 months although three had developed optic atrophy within 5 years. These four patients fit into a spectrum of acute involvement of the optic nerve in young diabetic patients, of which over 50 cases have now been reported. Most have florid ophthalmoscopic appearances which resolve within weeks or months and usually carry a good visual prognosis. The condition appears to be a variant of anterior ischaemic optic neuropathy though its possible pathophysiology in diabetes is uncertain. Knowledge of the condition by diabetologists and ophthalmologists is important as patients and doctors may be reassured after fairly simple investigation.
我们描述了4例年轻糖尿病患者，他们出现了单眼或双眼视盘肿胀（“视盘水肿”）。其中2例无症状，另外2例主诉视力模糊。所有患者均在6个月内自行缓解，不过有3例在5年内发展为视神经萎缩。这4例患者属于年轻糖尿病患者视神经急性受累的范畴，目前已报道50多例。大多数患者眼底镜表现明显，在数周或数月内消退，通常视力预后良好。尽管其在糖尿病中的可能病理生理学尚不确定，但这种情况似乎是前部缺血性视神经病变的一种变体。糖尿病专科医生和眼科医生了解这种情况很重要，因为经过相当简单的检查后，患者和医生可能会放心。
