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回顾性总结51例前部缺血性视神经病变。51例中单眼发病44例;双眼7例(13.7%),其中5例对侧眼已有视神经萎缩。平均发病年龄54.9岁。作为病因的系统疾病,动脉粥样硬化占54.9%,高血压动脉硬化33.3%,糖尿病11.8%。视力中度损害(0.2—0.5)者占1/3。下部视野缺损占30.2%,大多与生理盲点相连;4只眼各有两处视野缺损。荧光血管造影揭示,脉络膜(含视盘)视网膜充盈倒置占21.1%;视盘充盈延迟苍白水肿及火焰状出血表明前部视神经(筛板附近)的睫状后短动脉及表浅的中央血管微血管发生缺血损害。经药物治疗视力进步者占75.8%。
51 cases of anterior ischemic optic neuropathy were retrospectively reviewed. In 51 cases, monocular disease was found in 44 cases; in 7 eyes (13.7%), optic nerve atrophy was found in 5 cases of the contralateral eye. The average age of onset was 54.9 years. As a systemic disease of etiology, atherosclerosis accounts for 54.9%, hypertensive arteriosclerosis 33.3%, and diabetes mellitus 11.8%. Moderate visual impairment (0.2-0.5) accounted for 1/3. Lower visual field defects accounted for 30.2%, mostly linked to physiological blind spots; 4 eyes each have two visual field defects. Fluorescein angiography revealed that the choroid (including optic disc) filled the optic disc upside down accounted for 21.1%; optic disc filling delay pale edema and flaming bleeding showed anterior optic nerve (near the sieve plate) of the posterior ciliary artery and superficial central vascular microvascular Ischemic damage occurs. After the treatment of visual acuity accounted for 75.8%.