Slavin M L, Liebergall D A
Division of Neuro-Ophthalmology, Long Island Jewish Medical Center, New Hyde Park, New York, USA.
Surv Ophthalmol. 1996 Nov-Dec;41(3):261-7. doi: 10.1016/s0039-6257(96)80029-4.
A 61-year-old man developed fever and a urinary tract infection followed five days later by acute visual loss in the right eye. Funduscopic examination was normal. A retrobulbar optic neuropathy was diagnosed but careful consideration was given to choroidal ischemia as an etiology. A sphenoidal mucocele was found on emergent MRI scan and drained expeditiously, with marked improvement in visual function. The diagnosis of giant cell arteritis should always be entertained when dealing with visual loss in the elderly.
一名61岁男性出现发热和尿路感染，五天后右眼急性视力丧失。眼底检查正常。诊断为球后视神经炎，但仔细考虑了脉络膜缺血作为病因。急诊MRI扫描发现蝶窦黏液囊肿并迅速引流，视力功能明显改善。在处理老年人视力丧失时，应始终考虑巨细胞动脉炎的诊断。
