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作者信息

Mao Anna Elizabeth, Bach-Holm Daniella

机构信息

Afdeling for Øjensygdomme, Københavns Universitetshospital - Rigshospitalet.

出版信息

Ugeskr Laeger. 2024 Aug 12;186(33). doi: 10.61409/V04240244.

Abstract

In this case report, a 33-year-old pregnant woman with migraine and visual aura complained of headache, nausea, and blurred vision. Clinically, she presented with bilateral dilated and fixed pupils, ptosis, and tearing. She was erroneously diagnosed as having a migraine attack, but after referral to an ophthalmological department she was diagnosed with bilateral acute angle closure. At one-year follow-up her visual acuity was normalized but the severe visual field defects affected her daily activities and prevented her from having a driving licence.

摘要

在本病例报告中,一名33岁患有偏头痛和视觉先兆的孕妇主诉头痛、恶心和视力模糊。临床上,她表现为双侧瞳孔散大且固定、上睑下垂和流泪。她最初被误诊为偏头痛发作,但转诊至眼科后被诊断为双侧急性闭角型青光眼。随访一年时,她的视力恢复正常,但严重的视野缺损影响了她的日常活动,使她无法获得驾驶执照。

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