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例1 王××,女,56岁,农民,双眼进行性视物不清6年,伴有头痛,曾在多家医院诊为视神经炎,视神经萎缩。治疗无好转并逐渐加重。检查:视力右0.2,左0.3,左颞侧视野偏盲。眼底:双眼视盘均呈灰白色,边缘不清,视网膜动脉较细,右眼视盘下限血管见有白线样改变,余(一)。印象:视神经萎缩(继发),颅脑CT诊断:堞鞍扩大、鞍区肿瘤。 例2 张××,男,51岁,农民,双眼进行性视物模糊5年余。5年前始视物不清,无头痛眼胀,疑为花眼,后就诊三家医院,诊为老视眼及视神经萎缩,经用肌苷、VitB_1、B_(12)等药治疗无效,近1年来时常出现头胀
Example 1 Wang × ×, female, 56 years old, farmer, binocular progressive visual uncertainty 6 years, accompanied by headache, has been diagnosed in many hospitals optic neuritis, optic atrophy. No improvement and gradually increase the treatment. Check: visual acuity 0.2, left 0.3, left temporal hemianopia. Fundus: Binocular optic disc are gray, unclear edge, the retinal artery thinner, lower right ventricle, see the lower limit of vascular changes in white line, Yu (a). Impression: optic atrophy (secondary), brain CT diagnosis: 堞 saddle enlargement, sellar tumors. Example 2 Zhang × ×, male, 51 years old, farmers, binocular progressive visual blur more than 5 years. 5 years ago, blurred vision, no headache swollen, suspected eye, after seeing three hospitals, diagnosed as presbyopia and optic atrophy, by inosine, VitB_1, B_ (12) and other drugs ineffective, nearly 1 Swelling often occurs over the years