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Acute visual change.

机译:急性视力改变。

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摘要

Changes in vision or loss of vision are common complaints for patients presenting to the emergency department. Such complaints may represent a simple problem related to recent trauma, early evidence of a systemic disease, or may be a vision-threatening lesion. A logical and organized approach to the history and the physical examination of the patient with eye complaints is key to the diagnosis and treatment of the more significant causes of these complaints. This article reviews an organized approach to the patient with complaint of visual loss and considers the wide differential diagnosis. It focuses specifically on the evaluation of the patient complaining of visual changes resulting from central retinal artery occlusion, central retinal vein occlusion, retinal detachment, acute angle-closure glaucoma, giant cell temporal arteritis, and retrobulbar hemorrhage.
机译:视力变化或视力丧失是向急诊科就诊的患者的常见抱怨。这样的主诉可能代表与最近的创伤,系统性疾病的早期证据有关的简单问题,或者可能是威胁视力的病变。对患有眼疾的患者的病史和体格检查采取逻辑和有组织的方法,对于诊断和治疗这些症状的更重要原因至关重要。本文回顾了针对视力丧失患者的一种有组织的治疗方法,并考虑了广泛的鉴别诊断。它专门针对患者抱怨因视网膜中央动脉阻塞,视网膜中央静脉阻塞,视网膜脱离,急性闭角型青光眼,巨细胞颞动脉炎和球后出血而引起的视觉变化的评估。

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