Jefferis Joanna M, Littlewood Revelle, Pepper Irene M, Hickman Simon J
Department of Ophthalmology, Royal Hallamshire Hospital, Sheffield, UK.
Department of Neurology, Royal Hallamshire Hospital, Sheffield, UK.
Neuroophthalmology. 2018 Aug 15;42(6):339-342. doi: 10.1080/01658107.2018.1437753. eCollection 2018 Dec.
We describe here a case series of six patients referred to the Neuro-ophthalmology service in Sheffield, UK with possible acute unilateral optic neuritis. Each patient had a triad of unilateral photophobia, ipsilateral retro-ocular pain, and ipsilateral loss of vision. All patients had normal ocular examinations and investigation findings with no objective structural or functional abnormalities identified. Patients were treated by weaning-off regular analgesia and, where appropriate, commencing migraine prophylaxis. In the three patients with complete recovery of pain, there was also complete recovery of vision. We propose that this is a migraine syndrome and that the decreased visual acuity is a functional consequence of the pain and photophobia.
我们在此描述一组六例转诊至英国谢菲尔德神经眼科服务中心的病例，这些患者可能患有急性单侧视神经炎。每位患者都有单侧畏光、同侧眼球后疼痛和同侧视力丧失这一组症状。所有患者眼部检查及检查结果均正常，未发现客观的结构或功能异常。患者通过逐渐停用常规镇痛药，并在适当情况下开始偏头痛预防治疗。在疼痛完全恢复的三名患者中，视力也完全恢复。我们认为这是一种偏头痛综合征，视力下降是疼痛和畏光的功能性后果。
