Fischer L G
J Am Optom Assoc. 1977 Dec;48(12):1511-5.
Multiple sclerosis is a disease of the central nervous system whose clinical manifestations include animportant group of ocular pathologies, e.g., unilateral retrobulbar neuritis, uveitis, decreased visual function, nystagmus, internuclear ophthalmoplegia, diplopia, optic papillitis and Marcus Gunn pupil. Additionally, it is not generally appreciated that bitemporal hemianopia, usually associated with tumors of the optic chiasm, may also result from multiple sclerosis. Since most of a patient's life is spent in the remission phase of the disease, it is important for the practitioner to recognize the ocular findings present during this period. Additionally, studies have shown that such patients lead longer and more productive lives than most practitioners realize, and often have prolonged periods of remission. While the onset of the disease may present with ocular symptoms, such as loss of vision or diplopia, the patients tend to recover and retain relatively good function for many years.
多发性硬化症是一种中枢神经系统疾病，其临床表现包括一组重要的眼部病变，例如单侧球后视神经炎、葡萄膜炎、视力下降、眼球震颤、核间性眼肌麻痹、复视、视乳头炎和Marcus Gunn瞳孔。此外，通常与视交叉肿瘤相关的双颞侧偏盲也可能由多发性硬化症引起，这一点一般未得到充分认识。由于患者生命中的大部分时间处于疾病缓解期，因此对于从业者来说，识别在此期间出现的眼部表现非常重要。此外，研究表明，这类患者的寿命比大多数从业者所认为的更长，生活更有意义，并且常常有较长的缓解期。虽然疾病发作可能表现为眼部症状，如视力丧失或复视，但患者往往会康复并在多年内保持相对良好的功能。
