最近审阅: 23 十月 2020
最近更新: 01 十一月 2019

小结

定义

病史和体格检查

关键诊断因素

  • 存在的危险因素
  • 视力下降家族史
  • 维生素 A(视黄醇)缺乏症或恶性肿瘤的既往病史

其他诊断因素

  • 弱光下视力下降
  • 瞳孔反应各不相同(取决于潜在的病因)
  • 视网膜血管变细
  • 视野缺损
  • 周边脉络膜视网膜变性
  • 干扰维生素 A(视黄醇)代谢的用药史

危险因素

  • 视网膜色素变性
  • 先天性静止性夜盲
  • 维生素 A(视黄醇)缺乏症
  • 癌症相关性视网膜病变
  • 黑色素瘤相关性视网膜病变
  • 回旋状萎缩
  • 无脉络膜症

诊断性检查

首要检查

  • 视网膜电图 (ERG)
  • 裂隙灯活体显微镜检查和间接检眼镜检查
更多 首要检查

需考虑的检查

  • 血清维生素 A(视黄醇)水平
更多 需考虑的检查

治疗流程

撰稿人

Consultant Ophthalmologist

Sunderland Eye Infirmary

Sunderland

UK

利益声明

JS has received sponsorship from Novartis, Bayer, and DORC for meeting travel and accommodation. JS was awarded a research grant in 2017 by the British Vitreoretinal Society.

Consultant Ophthalmologist

Sunderland Eye Infirmary

Sunderland

UK

利益声明

WA declares that she has no competing interests.

The authors would like to gratefully acknowledge the assistance of Ms Karen Bradshaw. KB declares that she has no competing interests.

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Associate Professor

Department of Ophthalmology

Nagoya University Graduate School of Medicine

Nagoya

Japan

利益声明

MN declares that he has no competing interests.

Klara Spinks Fleming Fellow

Jules Stein Eye Institute

UCLA

Los Angeles

CA

利益声明

EA declares that he has no competing interests.

Emeritus Professor and Chairman

Department of Ophthalmology

University of California

San Francisco

CA

利益声明

CSH declares that he has no competing interests.

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