眼科 ›› 2011, Vol. 20 ›› Issue (6): 361-363.

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后部视路疾病诊治中的几个问题

邱怀雨, 魏世辉   

  1. 100853 北京,解放军总医院眼科
  • 收稿日期:2011-10-21 出版日期:2011-11-25 发布日期:2012-01-05
  • 通讯作者: 魏世辉,Email:weishihui706@sohu.com E-mail:weishihui706@sohu.com

Some points associated with the diagnosis and treatment for posterior visual pathway diseases

 QIU  Huai-yu, WEI  Shi-hui   

  1. Department of Ophthalmology, Chinese PLA General Hospital, Beijing 100853, China
  • Received:2011-10-21 Online:2011-11-25 Published:2012-01-05
  • Contact: Wei Shi-hui,Email:weishihui706@sohu.com E-mail:weishihui706@sohu.com

摘要: 脑血管疾病、脑肿瘤及脑外伤所导致的后视路疾病在临床上很常见,多表现为同侧偏盲或象限性盲,在国内眼科界对这类疾病的眼部表现缺乏应有的重视。弥散张量成像(diffusion tenser imaging,DTI)、功能磁共振成像(functional magnetic resonance imaging,fMRI)等影像学新技术的出现为后视路疾病的诊断提供了新的工具。对后视路疾病患者除了必要的手术治疗外,早期给予药物干预,减少原发及继发性视路损伤,稳定期给予视觉康复治疗,从而在最大程度上改善这类患者的视觉质量。

关键词: 后视路疾病/诊断, 视觉康复训练

Abstract: The impairment of posterior visual pathway, caused by cerebrovascular disorder, brain tumor or injury, is frequently occured in clinic. The homonymous hemianopsia or quadrantanopsia presents in most of those patients, which are usually neglected by eye doctors for a long time. Recently, with the development of the diffusion tenser imaging (DTI) and functional magnetic resonance imaging (fMRI), it can be diagnosised more easily. We suggest that it should be treated with proper medication to decrease primary and secondary impairments of visual pathway in acute stage combined with visual restoration training in late stage.

Key words: posterior visual pathway diseases/diagnosis, vision restoration training