非动脉炎性前部缺血性视神经病变的视野异常:初诊的视野表现及患病率

来源 :世界核心医学期刊文摘.眼科学分册 | 被引量 : 0次 | 上传用户:lixu0033
下载到本地 , 更方便阅读
声明 : 本文档内容版权归属内容提供方 , 如果您对本文有版权争议 , 可与客服联系进行内容授权或下架
论文部分内容阅读
Objective: To evaluate the pattern of various types of visual field defects and their prevalence at initial examination of nonarteritic anterior ischemic optic neuropathy (NA-AION).Methods: The data were compiled from 312 consecutive eyes (in 265 patients)that fulfilled our inclusion and exclusion criteria. A comprehensive ophthalmic evaluation was performed, includingre cording of visual acuity, visual fields with a Goldmann perimeter (using I-2e, I-4e, and V-4e targets regularly), and intraocular pressure; slitlamp examination of the anterior segment;ophthalmoscopy; color fundus photography; and in acute cases, fluorescein fundus angiography. The visual field defects were divided into 2 groups: (1) general field defects and (2)-various types of scotoma in the central 30°. The prevalence of various types of visual field defects was estimated for I-2e, I-4e, and V-4e isopters by dividing the total number of eyes with thedefect by the total number of eyes that could see that particulartarget. Exact 95%confidence limits for the prevalence were computed. Results: Of the 265 patients, 169 (63.7%) were male and the mean±SD patient age was 55.0±9.1 years. The median interval between the first visual field test and the onset of NA-AION was 2 weeks. Of the 312 eyes, the I-2e target was seen by 75.3%, the I-4e target by 90.7%, and the V-4e targetby 100%. Overall prevalence of general visual field defects was 83.4%with I-2e, 78.8%with I-4e, and 68.9%with V-4e,whereas the prevalence of scotoma(s) within the central 30°was 55.3%, 49.5%, and 36.2%, respect ively. Central scotoma was seen in 48.5%with I-2e, 43.8%with I-4e, and 29.2%with V-4e. A detailed prevalence of various types of visualfield defects is given. Relative inferior altitudinal defect was most common (34.9%with I-2e and 22.3%with I-4e), but the absolute inferior altitudinal defect was seen in only 8.0%. Bycontrast, absolute inferior nasal sector visual loss was the most common defect detected in NA-AION (22.4%), but it occurredin only 3.4%with I-2e and 11.0%with I-4e. Overall, loss of the nasal part of the visual field was the most common occurrence. Conclusions: Our study demonstrated that NA-AION eyes may initially show a variety of optic nerve-related visual field defects. Our study also showed that an absolute inferiornasal visual field defect is much mo re common (22.4%) than an absolute inferior altitudinal visual field defect (8.0%) in NA-AION and could be considered the most characteristic singlefield defect in NA-AION. We found that a combination of relative inferior altitu dinal defect with absolute inferior nasal defect is usually the most common pattern inNA-AION. Objective: To evaluate the pattern of various types of visual field defects and their prevalence at initial examination of nonarteritic anterior ischemic optic neuropathy (NA-AION). Methods: The data were compiled from 312 consecutive eyes (in 265 patients) that fulfilled our inclusion A comprehensive ophthalmic evaluation was performed, including cording of visual acuity, visual fields with a Goldmann perimeter (using I-2e, I-4e, and V-4e targets regularly), and intraocular pressure; slitlamp examination of the anterior segment; ophthalmoscopy; color fundus photography; and in acute cases, fluorescein fundus angiography. The visual field defects were divided into 2 groups: (1) general field defects and (2) -various types of scotoma in the central 30 °. of various types of visual field defects was estimated for I-2e, I-4e, and V-4e isopters by dividing the total number of eyes with thedefect by the total number of eyes that could see that particular Target: Exact 95% confidence limits for the prevalence were computed. Results: Of the 265 patients, 169 (63.7%) were male and the mean ± SD patient age was 55.0 ± 9.1 years. The median interval between the first visual field test and The onset of NA-AION was 2 weeks. Of the 312 eyes, the I-2e target was seen by 75.3%, the I-4e target by 90.7%, and the V-4e targetby 100%. Overall prevalence of general visual field while the prevalence of scotoma (s) within the central 30 ° was 55.3%, 49.5%, and 36.2%, respect ively (83.4% with I-2e, 78.8% with I- 4e, and 68.9% with V- . Central inferior scoliosis was 48.5% with I-2e, 43.8% with I-4e, and 29.2% with V-4e. Bycontrast, absolute inferior nasal sector visual loss was the most common defect detected in NA-AION (22.4%) with I-2e and 22.3% with I-4e), but the absolute inferior was 20% , buOverall, loss of the nasal part of the visual field was the most common occurrence. Conclusions: Our study demonstrated that NA-AION eyes may initially appeared in a variety of optic nerve-related visual field defects. Our study also showed that an absolute inferior nasal visual field defect is much mo re common (22.4%) than an absolute inferior altitudinal visual field defects (8.0%) in NA-AION and could be considered the We found that a combination of relative inferior altitu dinal defect with absolute inferior nasal defect is usually the most common pattern in NA-AION.
其他文献
随着科学技术日新月异的进步,信息技术已经渗透到各个领域。以此为话题,着重论述了信息技术与高中物理结合的教学现状和提高其有效性的教学策略。 With the rapid progress
期刊
随着科学技术的发展,为教育教学提供了新的教学手段和教学模式。语文不仅仅是一门学科,还是一门科学。通过广泛地在课堂上运用多媒体技术,使语文课堂变得生动形象,富有趣味性
期刊
从单纯的喜爱到民间手工文化生态系统的构建,潘鲁生一路走来,执著而坚定。从上世纪80年代开始,潘鲁生即深入乡村田野,探访和研究民间美术,行程几万公里,足迹遍布全国近30个省
请下载后查看,本文暂不支持在线获取查看简介。 Please download to view, this article does not support online access to view profile.
汶川地震灾害发生后,重庆市建委及市政府有关部门、部分区县政府和有关单位立即行动,分工协作,积极与四川省政府对口部门及部分受灾地区政府接洽,全力组织开展了赴川活动板房
鸡西矿业集团公司张辰煤矿西三采区3
期刊
柳诒征(1880-1956)字翼谋,亦字希兆,号知非,晚年号劬堂。江苏省镇江丹徒人。学者,历史学家、古典文学家、图书馆学家、书法家。中国近现代史学先驱,中国文化学的奠基人,现代
随着新课程改革的不断深入,我们越来越重视学生的参与性和体验性,我们倡导“快乐体育”、“健康体育”等新的教学方法。游戏作为一种辅助的教学方法,始终作为一种教学手段在
《光电精确制导武器》是“十二五”国家重点出版规划项目。书中内容时间跨度50年,全面介绍了光电精确制导武器的基本原理、技术发展概况与走势、装备与应用等,包括被动红外寻
1962年6月,广西林业科学研究所邀集广西林学院、三门江油茶试验场及桂林、玉林、柳州专区林业试验站等有关单位在柳州三门江油茶试验场举行了一次关于油茶、油桐品种分类问