[扎伊尔患者的髓鞘纤维]

[Myelin fibers in Zairian patients].

作者信息

Kaimbo D K, Mwilambwe A M, Leys A, Missotten L

机构信息

Service d'Ophtalmologie, Cliniques Universitaires de Kinshasa, Zaïre.

出版信息

Bull Soc Belge Ophtalmol. 1995;259:127-31.

PMID:8983529

Abstract

PURPOSE

to determinate the characteristics of myelinated nerve fibres in Zairian blacks patients.

METHODS

a review of records of patients with myelinated nerve fibers seen from 1962 to 1994.

RESULTS

the relative incidence of myelinated nerve fibers was 0.02%. There were 13 (76%) male patients and 4 (24%) female patients. The average age at the moment of diagnosis was 32 years (range, 7 to 61 years). Myelinated nerve fibers were bilateral in 8 (47%) patients (16 of 25 eyes, 64%) and unilateral nerve fibers, 21 (84%) eyes contained a single lesion and 4 (16%) eyes contained multiple separate and distinct patches of myelinated fibers. Continuous lesions were present in 21 (84%) eyes and discontinuous lesions in 4 (16%) eyes. The 25 affected eyes varied in refractive error from a spherical equivalent of + 1.5 to - 16.00. The distribution of refraction was: emmetropia in 2 (12%) patients (2 eyes, 8%), simple myopia in 4 (24%) patients (5 eyes, 20%), myopia over 6 D with amblyopia in 6 (35%) patients (10 eyes, 40%), hypermetropia in 5 (29%) patients (8 eyes, 32%).

CONCLUSION

this study showed a low relative incidence of myelinated nerve fibers and the bilaterality of lesions was frequent.

摘要

目的

确定扎伊尔黑人患者有髓神经纤维的特征。

方法

回顾1962年至1994年有髓神经纤维患者的记录。

结果

有髓神经纤维的相对发病率为0.02%。男性患者13例（76%），女性患者4例（24%）。诊断时的平均年龄为32岁（范围7至61岁）。8例（47%）患者的有髓神经纤维为双侧（25只眼中的16只，64%），单侧神经纤维中，21只眼（84%）有单个病变，4只眼（16%）有多个独立且不同的有髓纤维斑块。21只眼（84%）存在连续性病变，4只眼（16%）存在间断性病变。25只患眼的屈光不正范围从等效球镜度+1.5到-16.00。屈光分布情况为：正视2例（12%）患者（2只眼，8%），单纯近视4例（24%）患者（5只眼，20%），近视超过6D且有弱视6例（35%）患者（10只眼，40%），远视5例（29%）患者（8只眼，32%）。