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伴有或不伴有经证实的视盘玻璃膜疣的假性视乳头水肿。临床分析I

Pseudopapilloedema with and without verified optic disc drusen. A clinical analysis I.

作者信息

Mustonen E

出版信息

Acta Ophthalmol (Copenh). 1983 Dec;61(6):1037-56. doi: 10.1111/j.1755-3768.1983.tb01492.x.

DOI:10.1111/j.1755-3768.1983.tb01492.x
PMID:6659907
Abstract

A clinical analysis of 200 patients (307 eyes with optic disc drusen, 40 eyes with pseudopapilloedema without verified drusen, 53 normal fellow-eyes) was performed to document the characteristic findings in pseudopapilloedema with and without verified drusen. In 4 eyes optic disc drusen accounted for diminished visual acuity. Papillary or peripapillary haemorrhages were found in 6.1% of 347 eyes. Peripapillary pigment epithelial derangement was present in 29.7% of the eyes, mostly with superficial drusen. Subjective symptoms caused by drusen were very rare. Changes in the appearance of the optic discs with drusen during the years could be documented in 15% of 153 patients. There were 5 patients with pigmentary retinopathy. The most usual of coincident disorders was migraine in 21 patients. The visual field findings are analysed in a companion report.

摘要

对200例患者(307只患有视盘玻璃疣的眼睛、40只未证实有玻璃疣的假性视乳头水肿眼睛、53只正常对侧眼)进行了临床分析,以记录有和没有证实玻璃疣的假性视乳头水肿的特征性表现。在4只眼中,视盘玻璃疣导致视力下降。在347只眼中,6.1%发现了视乳头或视乳头周围出血。29.7%的眼睛存在视乳头周围色素上皮紊乱,大多数伴有表层玻璃疣。由玻璃疣引起的主观症状非常罕见。在153例患者中,15%的患者可记录到数年间有玻璃疣的视盘外观变化。有5例患有色素性视网膜病变。最常见的并发疾病是21例偏头痛。视野检查结果在一篇配套报告中进行分析。

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Acta Ophthalmol (Copenh). 1983 Dec;61(6):1037-56. doi: 10.1111/j.1755-3768.1983.tb01492.x.
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