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分析神经科和眼科之间疾患误诊原因,目的在于引起广泛重视,不断提高诊疗水平。神经科主要希望眼科能协助诊断,达到正确的病变定位;而眼科则主要希望神经科能帮助解决某些原因不明的视力减退原因。由于解剖上的密切关系,颅神经有一半与眼科有关,在中枢神经系统中约有38%的神经纤维与视觉有连系,大约有65%的颅内疾病可发现眼部症状和体征。因而眼科医师熟悉有关神经科的知识是完全必要的,神经科也应对眼科某些疾患有一定的概念,以免导致误诊,影响及时治疗。
The reason for the misdiagnosis of diseases between neurology and ophthalmology was analyzed. The purpose was to arouse widespread attention and continuously improve the level of diagnosis and treatment. The Department of Neurology hopes that ophthalmology can assist in diagnosis and achieve correct lesion location; while ophthalmology mainly hopes that neurology can help resolve the causes of unexplained vision loss. Due to the anatomical close relationship, half of the cranial nerves are related to ophthalmology. About 38% of nerve fibers in the central nervous system are associated with vision. About 65% of intracranial diseases can be found in ocular symptoms and signs. Therefore, it is absolutely necessary for ophthalmologists to be familiar with the knowledge about neurology. Neurology should also have certain concepts for some ophthalmologic diseases so as to avoid misdiagnosis and affect timely treatment.