进一步提高视神经萎缩的诊断水平

Improve the understanding and diagnostic skill of optic atrophy

视神经萎缩在眼科临床较为常见,患者通常有不同程度视功能损害。导致视神经萎缩的原因不同其临床表现和视功能预后也有所不同,应区分病因分别对待。在临床工作中可根据视盘形态的差异鉴别视神经萎缩,应注重区分视神经萎缩与先天性视盘形态异常、孤立性遗传性视神经病变与系统性神经系统疾病所致视神经改变以及视神经的生理性变异等。正确认识视神经萎缩,对于判断其病因,并采取适当的干预措施、保护患者视功能非常重要。

Optic atrophy is clinically common and usually accompanied with different severity of visual function impairment.The key point is that the clinical manifestation and visual outcomes are different among the patients with optic atrophies caused by different conditions.Special attention should be paid to distinguishing optic atrophy and congenital optic disc anomaly,isolated inherited optic neuropathy and optic atrophy as part of the systemic neurological diseases,and some conditions mimicking optic atrophy.Precise understanding of optic atrophy is very important for finding the causes,starting good treatment strategy and eventually protecting the patients＇ visual function.