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目的:分析垂体腺瘤患者双眼的中心视野及其后极部的眼底改变.方法:应用 Humphrey instructments750型电脑视籽分析仪和 Topcon TRC-50x眼底照相机,对术前70例垂体腺瘤患者行全阈值静态中心视野及眼底检查.结果:视力损害者占64.3％,视野损害者占80.7％;眼底改变者占46.4％.而以视力减退为首诊症状者占45.7％,其中28.6％曾被误诊为眼科疾病.误诊因素主要是患者以视力减退为首诊症状,且多无视野缺损主诉及同时伴有眼科疾病.结论:在眼科临床诊断过程中,对于原因不明的视力下降和解释不清的视神经萎缩,均应把视野作为常规检查,避免漏诊、误诊.
PURPOSE: To analyze the central visual field and the fundus changes of the posterior pole in patients with pituitary adenomas.Methods: Huphrey instructments750 computerized acumen analyzer and Topcon TRC-50x fundus camera were used to evaluate the preoperative 70 cases of pituitary adenomas Threshold static central visual field and fundus examination.Results: 64.3% of visual impairment, visual field damage accounted for 80.7%; fundus changes accounted for 46.4% .The eyes of vision loss accounted for 45.7% of the first symptoms, of which 28.6% had been misdiagnosed as Ophthalmology misdiagnosis of the main symptoms of patients with visual acuity as the first symptom, and no more than the main complaint of field defect and accompanied by ophthalmic diseases.Conclusion: In the clinical diagnosis of ophthalmology, unexplained vision loss and unexplained optic atrophy , Should be the vision as a routine examination, to avoid misdiagnosis.