Shults W T
Ophthalmology. 1984 Nov;91(11):1338-41. doi: 10.1016/s0161-6420(84)34145-8.
Ischemic optic neuropathy, in its arteritic and idiopathic varieties, presents both diagnostic and therapeutic challenges to the clinician, specifically: the role of temporal artery biopsy in management of giant cell arteritis; the preferred treatment regimen for giant cell arteritis, including decisions to begin tapering therapy and stopping therapy; action to take if major steroid complications arise while the disease is still active; distinguishing anterior ischemic optic neuropathy from idiopathic optic neuritis; whether cerebral arteriography is indicated in the assessment of idiopathic ischemic optic neuropathy; and whether steroid therapy is of any value in the treatment of idiopathic ischemic optic neuropathy.
缺血性视神经病变，包括动脉炎性和特发性两种类型，给临床医生带来了诊断和治疗方面的挑战，具体如下：颞动脉活检在巨细胞动脉炎管理中的作用；巨细胞动脉炎的首选治疗方案，包括开始逐渐减量治疗和停止治疗的决策；疾病仍处于活动期时出现主要类固醇并发症时应采取的措施；区分前部缺血性视神经病变和特发性视神经炎；在评估特发性缺血性视神经病变时是否需要进行脑血管造影；以及类固醇疗法在治疗特发性缺血性视神经病变中是否有任何价值。
