非动脉炎性前部缺血性视神经病变伴黄斑水肿：视力改善及荧光素血管造影特征

Nonarteritic anterior ischemic optic neuropathy with macular edema: visual improvement and fluorescein angiographic characteristics.

作者信息

Tomsak R L, Zakov Z N

机构信息

Mt. Sinai Medical Center, and Department of Ophthalmology, Case Western Reserve University School of Medicine, Cleveland, Ohio, USA.

出版信息

J Neuroophthalmol. 1998 Sep;18(3):166-8.

PMID:9736197

Abstract

The objective of the study was to assess visual outcomes in patients who have nonarteritic anterior ischemic optic neuropathy (NAION) with macular edema (ME). Thirteen eyes (12 patients) with NAION and ME were observed for an average of 5.3 months after onset of visual loss. Intravenous fluorescein angiography was performed on 10 eyes. Fluorescein leakage was observed in 8 of 10 (80%) eyes. Leakage was nonfocal, minimal, and diffuse. Eleven of 13 (85%) eyes with ME improved. The average improvement was 2.3 Snellen lines. The presence of ME in patients with NAION may confer a better visual prognosis than reported in patients with NAION alone.

摘要

本研究的目的是评估患有非动脉炎性前部缺血性视神经病变（NAION）并伴有黄斑水肿（ME）患者的视力预后。对13只眼（12例患者）的NAION合并ME在视力丧失发作后平均观察了5.3个月。对10只眼进行了静脉荧光素血管造影。10只眼中的8只（80%）观察到荧光素渗漏。渗漏为非局限性、轻微且弥漫性。13只合并ME的眼中有11只（85%）视力得到改善。平均改善了2.3行斯内伦视力表度数。NAION患者中存在ME可能比单纯NAION患者报告的视力预后更好。