Costa Novo Joana, Felgueiras Helena
Neurology Department, Centro Hospitalar de Vila Nova de Gaia/ Espinho, Vila Nova de Gaia, Portugal.
Neurology Department, Centro Hospitalar de Vila Nova de Gaia/ Espinho, Vila Nova de Gaia, Portugal.
Mult Scler Relat Disord. 2021 Feb;48:102730. doi: 10.1016/j.msard.2020.102730. Epub 2020 Dec 31.
Acute optic neuritis is the most common neuro-opthalmologic manifestation of multiple sclerosis (MS). Treatment with high-dose intravenous corticosteroids accelerates visual recovery, although it has no long-term visual benefit. MS has several others, less common, neuro-ophthalmological manifestations, where corticotherapy may not be the best treatment option. Neuro-ophthalmologic manifestations of MS other than optic neuritis can be divided in afferent and efferent visual pathways, acute and chronic and may be associated with drugs that are employed in MS. The authors propose is to review the neuro-ophthalmologic manifestations of multiple sclerosis other than optic neuritis. Recognition of these leads to a more targeted treatment and may prevent visual deterioration.
急性视神经炎是多发性硬化症（MS）最常见的神经眼科表现。大剂量静脉注射皮质类固醇治疗可加速视力恢复，尽管并无长期视力益处。MS还有其他几种较不常见的神经眼科表现，皮质类固醇疗法可能并非最佳治疗选择。MS除视神经炎外的神经眼科表现可分为传入和传出视觉通路、急性和慢性，并且可能与MS治疗中使用的药物有关。作者提议对MS除视神经炎外的神经眼科表现进行综述。认识到这些表现有助于更有针对性地治疗，并可能预防视力恶化。
