Jiang L B, Zhang J
Beijing Tongren Eye Center, Beijing Tongren Hospital, Capital Medical University, Beijing Institute of Ophthalmology, Beijing Key Laboratory of Ophthalmology & Visual Sciences, Beijing 100730, China.
Zhonghua Yan Ke Za Zhi. 2023 May 11;59(5):342-346. doi: 10.3760/cma.j.cn112142-20230212-00054.
Papilledema refers to the swelling of the optic disk due to increased intracranial pressure. In clinical practice, papilledema is often confused with optic disc edema. Idiopathic intracranial hypertension (IIH) is a major cause of papilledema and there are still misconceptions about the etiology of IIH, the classification and examination of papilledema, and the treatment of IIH. This article elaborates on the misunderstandings that may exist in the diagnosis and treatment of papilledema, in order to lay a foundation for the standardized diagnosis and treatment of papilledema in China.
视乳头水肿是指由于颅内压升高导致的视盘肿胀。在临床实践中,视乳头水肿常与视盘水肿相混淆。特发性颅内高压(IIH)是视乳头水肿的主要原因,目前对于IIH的病因、视乳头水肿的分类与检查以及IIH的治疗仍存在误解。本文阐述视乳头水肿诊治中可能存在的误区,以期为我国视乳头水肿的规范化诊治奠定基础。