高度重视瞳孔异常的临床意义  

Paying attention to the clinical significance of pupil abnormalities

作　　者：张伟[1] Zhang Wei(Tianjin Eye Hospital,Nankai University Affiliated Eye Hospital,Clinical College of Ophthalmology of Tianjin Medical University,Tianjin Eye Institute,Tianjin Key Laboratory of Ophthalmology and Visual Science,Tianjin300020,China)

机构地区：[1]天津市眼科医院南开大学附属眼科医院、天津医科大学眼科临床学院、天津市眼科研究所、天津市眼科学与视觉科学重点实验室,天津300020

出　　处：《中华眼科杂志》2023年第7期509-513,共5页Chinese Journal of Ophthalmology

基　　金：天津市卫生健康科技项目重点学科专项(TJWJ2022XK037);天津市自然科学基金重点项目(22JCZDJC00160);南开大学眼科学研究院开放基金定向支持项目(NKYKD202202)。

摘　　要：瞳孔异常是眼科检查常见的重要体征,可反映视觉传入通路或视觉传出通路的功能状况。部分眼科医师对瞳孔检查的认识不足或检查方法不规范,造成遗漏检查或检查结果不可靠,给临床评估和诊断疾病带来困难。本文从瞳孔检查结果的重要性、规范瞳孔检查方法、提高对瞳孔异常的认识3个方面进行论述,指出临床医师应重视及如何重视瞳孔异常的临床意义,以期为临床工作提供指导和参考。Pupil abnormalities may be physiological,pathological or pharmacological.It can indicate the underlying disease of the visual afferent system or visual efferent system.Examination of the pupils is therefore a part of eye examination.Insufficient knowledge and inconsistent methods in the pupillary examination by some ophthalmologists lead to mistakes or unreliable results,hampering the disease diagnosis and clinical assessment.This article emphasizes the significance of pupillary examination outcomes,advocates for standardized examination methods,and highlights the need to enhance the awareness of pupillary abnormalities,aiming to provide a guide on how to recognize and interpret the clinical implications of pupillary abnormalities,and to offer valuable insights for clinical practice.

关 键 词：瞳孔 视觉 眼 传入通路 传出通路 

分 类 号：R770.4[医药卫生—眼科]