Ward S C, Woods D R, Gilstrap L C, Hauth J C
Obstet Gynecol. 1984 Dec;64(6):816-8.
Acute optic disc edema is a recently recognized, relatively benign manifestation of juvenile-onset diabetes mellitus. Twenty-three cases have been reported in the ophthalmology literature, two occurring during pregnancy. The authors present an additional case recognized in a pregnant patient and review the literature. The disorder manifests physical findings similar to those of papilledema, proliferative retinopathy with optic disc edema, inflammatory papillitis, and ischemic optic neuropathy, but has a benign course that requires no treatment and is not adversely affected by pregnancy. It is important to recognize this syndrome because failure to make the correct diagnosis in pregnancy may lead to inappropriate treatment, including therapeutic abortion.
急性视盘水肿是青少年型糖尿病最近才被认识到的一种相对良性的表现。眼科文献中已报道了23例，其中2例发生在孕期。作者报告了1例在孕妇中发现的病例并对文献进行了综述。该病症表现出的体征与视乳头水肿、伴有视盘水肿的增殖性视网膜病变、炎性乳头炎和缺血性视神经病变相似，但病程良性，无需治疗，且不受妊娠的不利影响。认识到这种综合征很重要，因为在孕期未能做出正确诊断可能导致不适当的治疗，包括治疗性流产。
