Erneston A G
Asheville Eye Medical and Surgical Associates, P.L.L.C., North Carolina, USA.
J Am Optom Assoc. 1997 Dec;68(12):757-62.
Multiple sclerosis (MS) is the most common chronic disease of the central nervous system and is pleomorphic in it presentations. The optic pathways are frequently involved, and the classic ocular abnormality is optic neuritis.
A case is presented of a 23-year-old woman in whom optic neuropathy developed and multiple sclerosis was diagnosed by neuroradioimaging, in spite of her lack of awareness of vision loss.
The demyelinating lesions in MS may develop anywhere in the visual system and produce a variety of visual defects. Magnetic resonance imaging (MRI) is the most sensitive method for demonstrating these lesions.
The cause of MS is unknown, but current opinion holds that autoimmunity--perhaps induced by viral infection--is likely to be implicated in its etiopathogenesis. Currently, no method for prevention of MS is known.
多发性硬化症（MS）是中枢神经系统最常见的慢性疾病，其临床表现具有多形性。视神经通路常受累，典型的眼部异常是视神经炎。
报告一例23岁女性病例，尽管她未意识到视力丧失，但经神经影像学检查诊断为视神经病变并患有多发性硬化症。
MS中的脱髓鞘病变可发生在视觉系统的任何部位，并产生各种视觉缺陷。磁共振成像（MRI）是显示这些病变最敏感的方法。
MS的病因尚不清楚，但目前观点认为自身免疫——可能由病毒感染诱发——可能涉及其发病机制。目前，尚无预防MS的方法。
