特发性视神经炎与前部缺血性视神经病变的临床表现比较分析  

Clinical characteristics of idiopathic optic neuritis and anterior ischemic optic neuropathy

作　　者：刘可[1] 李乐[1] 江冰[1] 

机构地区：[1]中南大学湘雅二医院眼科,长沙410011

出　　处：《中国眼耳鼻喉科杂志》2015年第3期175-177,共3页Chinese Journal of Ophthalmology and Otorhinolaryngology

基　　金：国家自然科学基金(81371012);湖南省发改委课题(湘发改投资【2014】658号);湖南省科技计划项目(2013TZ2013)

摘　　要：目的比较分析特发性视神经炎（ON）及前部缺血性视神经病变（AION）的临床特点。方法回顾研究2010~2014年我院收治的77例特发性ON及46例AION患者的临床资料,对患者的性别、年龄、首发及伴随症状、视力、瞳孔和眼底检查、视野及磁共振成像检查等临床特点进行比较分析。结果与AION比较,特发性ON患者发病年龄更为年轻,双眼发病率更高,眼痛较AION常见,且发病初期视力下降程度明显高于AION;而AION视盘水肿率更高。磁共振提示特发性ON视神经异常高于AION。结论特发性ON与AION在临床表现上存在各自特点。Objective To evaluate and analyze the clinical characteristics of idiopathic optic neuritis（ON） and anterior isehemie optic neuropathy （AION）. Methods A total of 77 patients with idiopathic ON and 46 patients with AION enrolled from 2010 to 2014 were studied retrospectively. Characteristics such as gender, age, first and accompanying symptoms, visual acuity, pupil and fundus tests, visual field and magnetic resonance （MR） tests of the two kinds of patients were analyzed and compared. Results Compared to AION, idiopathic ON patients are younger with more possibilities of bilateral involvement. Eye pain is more common in idiopathic ON patients accompany with worse visual acuity. Idiopathic optic edema appears an usual sign in AION other than in ON. MR has advantages of indicating abnormalities in idiopathic ON. Coneluslon There are several different clinical characteristics between idiopathic ON and AION.

关 键 词：视神经炎 前部缺血性视神经病变 临床特征 

分 类 号：R774.6[医药卫生—眼科]