烟中毒性弱视的临床特征分析  

Analysis of Clinical Characteristics of Tobacco Amblyopia

作　　者：杨涛[1] 冯晓云[1] 

机构地区：[1]河北省玉田县医院,河北唐山064100

出　　处：《中国药业》2009年第15期62-63,共2页China Pharmaceuticals

摘　　要：目的分析烟中毒性弱视的临床特征,探讨其早期诊断、早期治疗的方法。方法回顾性分析2002年5月至2008年7月以双眼不明原因视力下降就诊的62例眼科患者中,烟中毒性弱视患者所占比例及其临床特征和视野特征性改变。结果62例不明原因视力下降的患者中,确诊为烟中毒性弱视患者12例(19.35%),12例患者均有长期大量吸烟史,烟龄8～30年,视力渐进性下降,色觉障碍,视野特征性改变为中心注视点与生理盲点相连之间的暗点中有核。结论烟中毒性弱视在临床中易被误诊或漏诊,通过详细询问病史及典型的视野改变可确诊,早期诊断和早期正确的治疗有利于提高视力和改善视野。Objective To investigate the clinical features of tobacco amblyopia and to discuss its diagnosis and treatment. Methods To analyze retrospectively the proportion, clinical characteristics and the characteristic changes of visual field of the patients with tobacco amblyopia in 62 patients who visited first time because of the decline of binocular vision with unknow cause in Yutian County Hospital from May 2002 to July 2008. Results In 62 patients who visited first time because of the decline of binocular vision with unknow cause, 12 patients were diagnosed as tobacco amblyopia, the proportion was 19.35%. All of them had the history of massive smoking, tobacco age of 8- 30 years, the gradually decline in vision, dischromatopsia, the characteristic changes of visual field as blindspot between central fixation spot and physiological blind spot, and the blind-spot had kernel. Conclusion Tobacco amblyopia is easily misdiagnosed or missed diagnosed in clinic. It can be diagnosed through the history and the typical changes in visual field. Early diagnosis and early correct treatment are helpful to improve the visual acuity and visual field.

关 键 词：烟中毒性弱视 视野 临床特征 

分 类 号：R777.44[医药卫生—眼科] R363.2[医药卫生—临床医学]