Optic neuritis
Optic neuritis
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DOI：
10.1056/nejmcp053247
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发表时间：
2006-03-23
影响因子：
158.5
通讯作者：
Balcer, LJ
中科院分区：
文献类型：
--
作者：
Balcer, LJ
一名25岁的女性出现左眼视力模糊一周的病史。在视力丧失的前一天，她注意到左侧眼眶周围地区出现隐痛，眼球运动也出现疼痛。她的症状持续了三天，但此后一直没有恶化。她没有其他视觉或神经症状的病史。检查显示，左眼视力为20/40，色觉降低，并有左侧传入瞳孔缺陷。视盘未见肿胀或视神经苍白，神经学检查正常。应该如何评估和对待她？
A 25-year-old woman presents with a one-week history of blurred vision in the left eye. One day before the onset of visual loss, she noted a dull ache in the left periorbital region and pain on eye movement. Her symptoms progressed for three days but have not worsened since. She has no history of other visual or neurologic symptoms. Examination reveals visual acuity of 20/40 in the left eye, reduced color perception, and a left afferent pupillary defect. There is no visible swelling of the optic disk or pallor of the optic nerve, and a neurologic examination is normal. How should she be evaluated and treated?