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缺血性视神经病变的研究进展

林铁柱 沈丽君

国际眼科杂志2024,Vol.24Issue(9):1443-1447,5.
国际眼科杂志2024,Vol.24Issue(9):1443-1447,5.DOI:10.3980/j.issn.1672-5123.2024.9.17

缺血性视神经病变的研究进展

Research advance of ischemic optic neuropathy

林铁柱 1沈丽君1

作者信息

  • 1. (310014)中国浙江省杭州市,浙江省人民医院眼科中心
  • 折叠

摘要

Abstract

·Ischemic optic neuropathy(ION)is a common eye disease that could cause blindness.ION can be classified as anterior ischemic optic neuropathy(AION)or posterior ischemic optic neuropathy(PION)according to the presence or absence of optic disc edema.AION is more prevalent(90%).Moreover,ION can be divided into arteritic ION and non-arteritic ION based on the presence or absence of vasculitis.While various forms of ION may present comparable clinical symptoms,they differ considerably in terms of etiology,prognosis,and treatment approaches.Arteritic ION has the potential to cause blindness,disability,and even mortality in a short period of time.Therefore,early detection of arteritis and determination of the need for corticosteroid therapy are essential for the treatment of ION.The positive significance of identifying and managing potential modifiable risk factors for ION lies in its ability to prevent recurrence in both the affected and contralateral eyes.This article reviews the etiology,risk factors,diagnosis,and management of various varieties of ION with the goal of reducing misdiagnosis and improper treatment,thereby enhancing the overall prognosis of this condition.

关键词

缺血性视神经病变/前部缺血性视神经病变/后部缺血性视神经病变/巨细胞动脉炎/动脉炎性缺血性视神经病变/非动脉炎性缺血性视神经病变

Key words

ischemic optic neuropathy/anterior ischemic optic neuropathy/posterior ischemic optic neuropathy/giant cell arteritis/arteritic ischemic optic neuropathy/non-arteritic ischemic optic neuropathy

引用本文复制引用

林铁柱,沈丽君..缺血性视神经病变的研究进展[J].国际眼科杂志,2024,24(9):1443-1447,5.

基金项目

沈阳市中青年科技创新人才支持计划项目(No.RC210267) (No.RC210267)

沈阳市卫健委科研课题计划(No.2022103) Middle-aged Science and Technology Innovation Talents Support Program of Shenyang(No.RC210267) (No.2022103)

Scientific Research Program of Health Commission of Shenyang(No.2022103) (No.2022103)

国际眼科杂志

OACSTPCD

1672-5123

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