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视盘拥挤的年轻女性的短暂性视力丧失:一种可能的病因

Transient Visual Loss in Young Females with Crowded Optic Discs: A Proposed Aetiology.

作者信息

Madill Stephen A

机构信息

Princess Alexandra Eye Pavilion, Lothian Universities NHS Trust, Edinburgh, UK.

出版信息

Neuroophthalmology. 2021 Jun 18;45(6):372-379. doi: 10.1080/01658107.2021.1937231. eCollection 2021.

DOI:10.1080/01658107.2021.1937231
PMID:34720267
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC8555550/
Abstract

I present four cases of transient visual loss (TVL) in young females with crowded optic discs. One patient had asymmetrical cup-to-disc ratios and only experienced TVL in the eye with the more crowded disc. I review the evidence for blood flow autoregulatory dysfunction within crowded optic discs in combination with reduced ocular perfusion pressure to propose a possible aetiology for both unilateral and bilateral TVL in young females with crowded optic discs.

摘要

我介绍了4例视盘拥挤的年轻女性短暂性视力丧失(TVL)病例。1例患者杯盘比不对称,仅在视盘更拥挤的眼睛中出现TVL。我回顾了视盘拥挤时血流自动调节功能障碍与眼灌注压降低相关的证据,以提出视盘拥挤的年轻女性单侧和双侧TVL可能的病因。

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本文引用的文献

1
Dynamic cerebral autoregulation is attenuated in young fit women.年轻健康女性的脑血流自动调节功能减弱。
Physiol Rep. 2019 Jan;7(2):e13984. doi: 10.14814/phy2.13984.
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Transient Monocular Vision Loss on Awakening: A Benign Amaurotic Phenomenon.觉醒时短暂性单眼视力丧失:一种良性黑矇现象。
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Invest Ophthalmol Vis Sci. 2014 Jan 23;55(1):485-91. doi: 10.1167/iovs.13-12975.
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Optic nerve head blood flow autoregulation during changes in arterial blood pressure in healthy young subjects.健康年轻受试者动脉血压变化时视神经头血流自动调节。
PLoS One. 2013 Dec 6;8(12):e82351. doi: 10.1371/journal.pone.0082351. eCollection 2013.
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Ocular perfusion pressure in glaucoma.青光眼的眼内灌注压。
Acta Ophthalmol. 2014 Jun;92(4):e252-66. doi: 10.1111/aos.12298. Epub 2013 Nov 18.
8
Regulation of optic nerve head blood flow during combined changes in intraocular pressure and arterial blood pressure.眼压和动脉血压同时变化时视乳头血流的调节。
J Cereb Blood Flow Metab. 2013 Dec;33(12):1850-6. doi: 10.1038/jcbfm.2013.137. Epub 2013 Aug 7.
9
Embolic and nonembolic transient monocular visual field loss: a clinicopathologic review.栓塞性和非栓塞性一过性单眼视野缺失:临床病理回顾。
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