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首页> 外文期刊>Japanese Journal of Ophthalmology >Bilateral, nearly simultaneous anterior ischemic optic neuropathy complicated by diabetes and bilateral, small, crowded optic discs.
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Bilateral, nearly simultaneous anterior ischemic optic neuropathy complicated by diabetes and bilateral, small, crowded optic discs.

机译：双侧，几乎同时发生的前部缺血性视神经病变，并发糖尿病和双侧，小而拥挤的视盘。

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BACKGROUND: Bilateral simultaneous anterior ischemic optic neuropathy (AION) is uncommon. We report a case of bilateral and nearly simultaneously occurring AION. CASE: A 61-year-old man was referred to our hospital with bilateral optic disc edema. OBSERVATIONS: Visual field testing demonstrated inferior nasal defect OD and inferior defect OS. Fluorescein angiography showed a delay of dye filling in the superior part of the optic disc in both eyes. The patient had poorly controlled diabetes. A mild increase in erythrocyte sedimentation rates and creactive protein was observed, but the results of temporal artery biopsy were negative. His optic discs were small and lacked biological cups, which has been identified as a risk factor for developing AION. CONCLUSIONS: The complications of the structural anomaly, also known as "disc at risk," and diabetes might have caused the bilateral and nearly simultaneously occurring AION. Jpn J Ophthalmol 2005;49:235-238 (c) Japanese Ophthalmological Society 2005.
机译：背景：双侧并发前部缺血性视神经病变（AION）并不常见。我们报告了一起双边和几乎同时发生的AION案件。病例：一名61岁的男子因双侧视盘水肿被转诊到我们医院。观察结果：视野测试显示鼻下骨缺损和下颌骨缺损。荧光素血管造影显示两只眼睛的视盘上方部分的染料填充延迟。该患者的糖尿病控制不佳。观察到红细胞沉降率和crecre蛋白有轻度增加，但颞动脉活检结果为阴性。他的视盘很小，没有生物杯，这被认为是发展AION的危险因素。结论：结构异常的并发症（也称为“危险的光盘”）和糖尿病可能已引起双侧和几乎同时发生的AION。 Jpn J Ophthalmol 2005; 49：235-238（c）日本眼科学会2005。

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