眼部带状疱疹合并视神经网膜炎一例

眼部带状疱疹合并视神经网膜炎一例杨朝霞杨丽霞冯俊才（河南省新密市眼科医院，４５２３００）眼部带状疱疹临床上较为常见，但合并视神经网膜炎等眼病不多见。我院遇到一例，报告如下。患者杜××，女，５４岁，１９９３年９月１６日以“左前额刺痛，出现数个红疹”为主...     

中西医结合治疗视神经网膜炎

中西医结合治疗视神经网膜炎山东省禹城市中医院眼科王国霞视神经网膜炎，对视功能影响严重，常致视神经萎缩。西医治疗多使用皮质激素和维生素及扩张血管剂等药物，但多数病例疗效不很满意。近几年来我科使用了中医活血化瘀为主，结合西医球后注射皮质激素及血管扩张剂方...     

丙种球蛋白治愈带状疱疹眼部严重并发症病例报告

眼带状疱疹并不少见,但同时并发角膜炎,萄葡膜炎和视神经网膜炎等严重并发症者不多。我院最近用丙种球蛋白治愈一例报告如下。病例报告患者王静艳,女,八岁,住院号218751 病史:患儿从78年2月14日开始右眼部疼痛,并     

球后视神经炎的荧光眼底(附四例报告)

球后视神经炎为部队多发病之一。到目前为止,对该病的早期诊断仍较困难,特别是无明显眼底改变的患者。我们在临床工作中,对部分球后视神经炎患者无选择地进行了眼底荧光血管造影,发现有一些异常表现;如视神经乳头血管荧光充盈减弱,视神经乳头周围环状荧光渗漏,视神经乳头颞侧血管荧光充盈缺     

有机磷中毒致视神经网膜炎20例

我院自1996年10月至1999年6月共遇到20例40眼有机磷类农药中毒致视神经网膜炎,现报告如下。资料与方法:本组男6例,女14例,年龄18～52岁,均于自服有机磷类农药2小时内入院治疗。中毒前视力均正常,无视神经、视网膜疾病史。中毒后第1天出现眼部症状8例,第2天6例,第3天3例,第4天2例,第5天1例,均为双眼发病。病人出现视力急骤下降,眼痛、复视、眩晕等症状,初次就诊视力均<4.5。眼底检查:视乳头边界模糊、充血、水肿,静脉充盈、怒涨,视网膜水肿,有棉絮状渗出及散在点片状、火焰状出血,黄斑中心凹反射消失。诊断:中毒性视神经网膜炎。治疗:急性期…     

双侧听神经瘤误诊为双眼视神经视网膜炎

患者徐××女２２岁因双目视物不清１年余,于９４年１０月２４日以双眼视神经网膜炎收住我科。两眼视力均为０．１（不能矫正）,双眼结膜轻度充血,屈光间质未见异常,双眼视乳头边界消失、扩大、轻度隆起、色灰,有散在点状出血,生理杯消失,静脉略粗、弯曲,动脉无明...     

有机磷农药中毒的眼底病变

有机磷农药中毒国内屡有报告,然而仅引起眼部病变者并不多见。国内孟氏1965年曾报告1059农药中毒引起视神经网膜炎。随着我国工农业生产的飞跃发展,加强对有机磷农药中毒的预防,认识其所引起的临床症状和体征。实属必要。今将所观察的3例有机磷农药中毒的眼底变化报告如下。     

首诊于眼科的颅内静脉窦血栓形成误诊分析

目的探讨眼科临床工作中颅内静脉窦血栓形成(cranialvenoussinusthrombosis,CVST)误诊的常见原因。方法回顾性分析21例CVST患者的临床资料与误诊情况。结果本组以头痛为首发症状者4例,视物模糊6例,头痛伴视物模糊4例,一过性黑朦2例,视力下降3例,视物变形1例,眼前黑影飘动1例。本组21例眼底检查均表现为视盘水肿。其中首诊时8例误诊为视神经乳头炎,3例误诊为视盘血管炎,2例误诊为视神经网膜炎,2例误诊为屈光不正、弱视,1例误诊为缺血性视神经病变,1例误诊为视盘玻璃膜疣。4例没有明确诊断,只诊为视盘水肿。结论采集病史和体检不够全面以及对CVST的临床特征缺乏深入的认识是眼科临床工作中CVST误诊的主要原因。     

视神经疾患之玻璃体荧光光度测定法

业已查明,急性球后视神经炎患者后部玻璃体荧光光度测定水平增高,病愈后又恢复正常球后视神经炎复发时,后部玻璃体荧光光度测定值亦增高。本文的目的系用玻璃体荧光光度测定法研究视神经疾患。作者检查12例视神经患者:2例单眼特发性球后视神经炎;1例乙胺丁醇或异烟肼中毒性球后视神经病变;1例多发性硬化,2例复发性特发性视神经炎;1例全身性红斑狼疮和视神经炎;1例拟结节病性视神经炎,1例脑积水继发     

前部缺血性视神经病变的眼底荧光血管造影及视野的改变

目的分析眼底荧光血管造影和视野检查对前部缺血性视神经病变的诊断作用。方法对25例(39眼)前部缺血性视神经病变的造影及视野图像进行分析。结果眼底荧光血管造影早期视盘部分或大部分呈现荧光充盈迟缓,晚期视盘缺血区呈强荧光,并伴有不同的视野缺损。结论眼底荧光血管造影和自动视野分析对前部缺血性视神经病变的诊断有重要意义。     

Malignant lymphoma of the conjunctiva following Hodgkin''s disease.

A 64-year-old woman with mixed cellularity Hodgkin's disease diagnosed in 1972 developed a malignant lymphoma of the conjunctiva 14 years later. She had undergone combined chemotherapy and radiation therapy for Hodgkin's disease. Non-Hodgkin's lymphomas developing after Hodgkin's disease have been reported with increasing frequency in recent years. It is important to recognise a separate malignant lymphoma in a patient with Hodgkin's disease because of the different treatment offered for each of these diseases.     

Giant cell arteritis

Giant cell arteritis has been considered an enigmatic disease. It is characterised by chronic granulomatous inflammation of the walls of large and medium‐sized arteries. The process has a predilection for the extradural cranial arteries, which include the ophthalmic and the posterior ciliary arteries. It is a multi‐symptom disease of older individuals and patients often present with challenging issues and diagnostic dilemmas. We review the literature and latest protocols for the diagnosis and management of giant cell arteritis.     

误诊弱视的儿童眼病

目的分析某些儿童眼部疾病被误诊为弱视的原因。方法回顾26例误诊弱视病例并对原因进行分析。结果局部原因以眼部的先天性疾病为主,少数病人因颅内病变引起。结论弱视诊断,要排除器质性病变及颅内病变。     

Crohn's Disease: An Optometric viewpoint

Crohn's disease is a disease of the gastrointestinal tract that has a number of ocular complications including uveitis, scleritis, keratitis, conjunctivitis and dry eye symptoms. It is a disease manifesting in young adults and should be considered as a possible diagnosis in the presence of anterior uveitis. Care is necessary in the management of contact lens patients who have the disease. Treatment of Crohn's disease involves the use of steroids and anticholinergic drugs and these patients should be monitored carefully for ocular side effects of drug therapy.     

Posterior polar cataract: A review

Posterior polar cataract is a rare form of congenital cataract. It is usually inherited as an autosomal dominant disease, yet it can be sporadic. Five genes have been attributed to the formation of this disease. It is highly associated with complications during surgery, such as posterior capsule rupture and nucleus drop. The reason for this high complication rate is the strong adherence of the opacity to the weak posterior capsule. Different surgical strategies were described for the handling of this challenging entity, most of which emphasized the need for gentle maneuvering in dealing with these cases. It has a unique clinical appearance that should not be missed in order to anticipate, avoid, and minimize the impact of the complications associated with it.     

The role of near-infrared reflectance imaging in retinal disease: A systematic review

Near-infrared reflectance (NIR) retinal imaging aids in a better visualization of structures at the level of outer retina, retinal pigment epithelium, and choroid. It has multiple advantages, including easy acquisition in association with structural spectral domain optical coherence tomography, more comfort for patients, and enhanced contrast and spatial resolution. It helps in the diagnosis of chorioretinal diseases that present with minimal funduscopic findings and can be used to follow up many chorioretinal conditions. We describe the chorioretinal NIR imaging appearance and the clinical role of NIR imaging in ocular inflammatory disease, vascular and acquired disease, degenerative disease, tumors, associated systemic condition, toxic and traumatic disease, optic nerve head conditions, and physiological findings.     

The term "Takayasu's disease" should be abolished

The case described by Takayasu and referred to in later years by the term "Takayasu's disease" is a condition radically distinct from the currently established Takayasu-Ohnishi's disease in that the original case report indicates no constitutional or systemic abnormalities and refers to the regional blood flow abnormalities with annular anastomoses of the central retinal blood vessels. The term "Takayasu's disease" should, therefore, be abolished. It was coined heedlessly by his juniors, including the author, without an exhaustive search of the literature. It was of no concern to Takayasu himself. I propose the term "aortic arch arteriostenosis syndrome" (Okamura 1938 and Yui 1943) to be used for the disease of which the pathogenetic mechanism has been established with a general trend of acceptance of its multifactorial etiology.     

Historical notes on the terms "glaucoma" and "cataract" (author's transl)]

The Greek term "glaucoma" has nothing to do with the disease we call glaucoma today and that we use to translate incorrectly with "grüner Star" throughout the German-speaking countries. The Greek adjective "glaucos" does not mean green but gleaming, sparkling. It signified the discolouring of the pupil in glaucoma. It was later replaced by the pathogenetic term hypochysis, Latin suffusio, denoting the supposed "trübe Feuchte" (opaque humour) that was taught to gather and congeal in front of the crystalline lens. Later on "glaukosis" was reserved for incurable cases, disease of the crystalline lens itself, which was looked at as the "organon visus" up to Felix Plater. The word "cataract"--waterfall--does not exist in Greek medicine. It appears in Salernitan medical science around the year 1000 as a synonym for hypochysis, the disease we call cataract today and which has been identified as opacity of the lens since Brisseau (1705). The nature of "incurable" glaucoma, later considered as a disease of the vitreous body, was clearly recognized as a consequence of intraocular increase of pressure only by v. Graefe.     

Cogan综合征

Cogan综合征是一种罕见的以非梅毒性角膜基质炎及听觉-前庭功能障碍为特点的综合征,病因尚不明确,可能为自身免疫性疾病.多在青年人发病,主要表现为非梅毒性角膜基质炎和听觉前庭功能障碍.分为典型性和非典型性.需与肉芽肿性多血管炎、类风湿性关节炎、系统性红斑狼疮等鉴别.治疗以糖皮质激素、免疫抑制剂为主.