前部缺血性视神经病变与腔隙性脑梗死的相关临床分析

摘要

目的 探讨前部缺血性视神经病变(AION)与腔隙性脑梗死的相关性.方法 回顾2007年3月至2010年6月就诊的53例(79只眼)前部缺血性视神经病变患者的视力、视野、眼底,以及视觉电生理、荧光素眼底血管造影、CT或MRI等检查资料,分析AION与腔隙性脑梗死的关系.结果 所有患者经视野检查确诊为AION;在53例患者中有47例做了CT或MRI检查,其中16例诊断为腔隙性脑梗死,占34%.在53例患者中,高血压者23例,占43.4%,糖尿病者14例,占26.4%,腔隙性脑梗死者16例,占 30.2%,其中单眼10例,双眼6例.结论 AION与腔隙性脑梗死密切相关;对于AION患者应常规行脑CT或MRI检查.%Objective To investigate the association between anterior ischemic optic neuropath(AION) and lacu-nar infarction. Methods 79 eyes from 53 patients diagnosed as AION at our in - patient department from Mar. 2007to Jun. 2010 underwent examination of visual acuity, ocular fundus ,visual field , electro-physiology, fundus fiuoreseein angi-ography and CT. Results All patients were diagnosed as AION. Among 53 patients, 47 of whom were examed by CT or MRI , and 16 patients were diagnosed as lacunar infarction. The rate is 34%. Among 53 patients, 43.4% ( 23 patients) had high blood pressure; 26. 4% ( 14 patients ) had diabetics. Among those who diagnosed as lacunar infarction , there were 10 patients with unilateral AION and 6 patients with bilateral AION. Conclusion There are strong correlation between lacunar infarction and AION. It is necessary to perform CT or MRI regularly in all patients with AION.