| 伴近视的鞍区肿瘤眼部病变特点 |
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| 引用本文： | 陆漱玉,陈兵,周建强. 伴近视的鞍区肿瘤眼部病变特点[J]. 眼视光学杂志, 2001, 3(4): 243-244 |
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| 作者姓名： | 陆漱玉 陈兵 周建强 |
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| 作者单位： | 江苏省常州市广化医院眼科中心,江苏,常州,213001 |
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| 摘 要： | 目的：探讨近视患者的鞍区肿瘤眼部病变的临床特点。方法：回顾分析了18例伴近视的鞍区肿瘤的视力、视野及眼底等情况。结果：18例初诊时，19眼（占52.8%）视力低下4.0，仅5例（占27.8%）视野缺损呈典型的视交性单、双颞侧偏盲，10例（占55.6%）双眼视神经不同程度萎缩，4例（占22.2%）单眼视神经萎缩。结论：伴近视的鞍区肿瘤眼部病变常很严重，容易被误诊为青光眼性视神经萎缩，视乳头炎、缺血性视神经病变。
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| 关 键 词： | 近视 鞍区肿瘤 视力 视野 视神经萎缩 |
| 文章编号： | 1008-1801(2001)04-0243-02 |
| 修稿时间： | 2001-04-19 |
Clinical analysis of the characteristics of ocular abnormalities in sellar tumor with myopia |
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| LU Shu yu,CHEN Bing,ZHOU Jian qiang. Ophthalmic Center of Changzhou Guanghua Hospital,Changzhou [FK. Clinical analysis of the characteristics of ocular abnormalities in sellar tumor with myopia[J]. Chinese Journal of Optometry & Ophthalmology, 2001, 3(4): 243-244 |
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| Authors: | LU Shu yu CHEN Bing ZHOU Jian qiang. Ophthalmic Center of Changzhou Guanghua Hospital Changzhou [FK |
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| Abstract: | Objective:To analyze the characteristics of ocular abnormalities in sellar tumor with myopia.Methods:To review retrospectively the visual acuity, visual field and fundus of 18 cases of sellar tumor with myopia.Results:19 eyes(52.8%) had visual acuity <4.0D. The original diagnosis in 5 cases(27.8%) was typical coloboma with visual fields that had bitemporal or monocular temporal hemianopsia,in 10 cases(55.6%) it was bilateral optic atrophy and in 4 cases(22.2%) it was unilateral optic atrophy.Conclusion:Ocular abnormalities in sellar tumor with myopia are often very severe. It is easily misdiagnosed as optic atrophy of glaucoma,optic neuritis or ischemic optic neuropathy. Examination by CT or MRI is indicated. [FK(WB80011?6] |
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| Keywords: | myopia sellar neoplasm visual acuity visual field optic atroply |
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