双眼同时发生非动脉炎性前部缺血性视神经病变1例  

Bilateral simultaneous non-arteritic anterior ischemic optic neuropathy:a case report

作　　者：蔺雪梅[1] 刘佩 常乔乔 王静 吴松笛[1] Lin Xuemei;Liu Pei;Chang Qiaoqiao;Wang Jing;Wu Songdi(Department of Neurology,Xi′an No.1 Hospital(The First Affiliated Hospital of Northwestern University),Xi'an Key Laboratory for Innovation and Translation of Neuroimmunological Diseases,Xi′an 710002,China)

机构地区：[1]西安市第一医院(西北大学附属第一医院)神经内科西安市神经免疫疾病创新转化重点实验室,西安710002

出　　处：《中华眼科杂志》2023年第5期404-407,共4页Chinese Journal of Ophthalmology

基　　金：陕西省科技计划(2022SF-381,2022SF-507);陕西省卫健委项目(2022C005)。

摘　　要：1例62岁双眼视力下降10 d女性患者,眼底检查和相干光层析成像术检查提示双眼视盘水肿,荧光素眼底血管造影术检查提示视盘动脉早期弱荧光,晚期不规则充盈缺损,节段性强荧光。诊断为双眼非动脉炎性前部缺血性视神经病变。经大剂量糖皮质激素冲击和综合治疗,患者视力和视野有所恢复,随访病情稳定。A 62-year-old female patient presented with binocular vision loss for 10 days.Fundus photography and optical coherence tomography showed bilateral optic disc edema.Fundus fluorescein angiography showed hypofluorescence of the optic disc in the early stage,but irregular filling defects and segmental hyperfluorescence in the late stage.The diagnosis of bilateral simultaneous non-arteritic anterior ischemic optic neuropathy was made.The patient′s visual acuity and visual field were improved after the use of megadose corticosteroids and comprehensive treatment.The prognosis of the patient was stable during the follow-up period.

关 键 词：视神经病变 缺血性 视觉 双眼 随访研究 

分 类 号：R774.6[医药卫生—眼科]