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本文随访平均14.6年前的球后视神经炎患者50例共80只眼。本病以青壮年为主。初诊时全部主诉视力减退,但少数客观检查正常。绝大多数有视野异常(视乳头正常,少数有瞳孔异常。由于视力减退是主观的,眼底又往往正常,诊断时应着重视野检查。随访时47.1%患眼恢复正常视力。大多数视野恢复正常,视乳头和瞳孔异常者比初诊时略有增加。视力、视野和视乳头全部恢复正常者占36.7%,二项正常者30.6%,全未正常者8.2%,说明本病预后较好,仅少数患者留下病损,久未消失。
This article was followed up an average of 14.6 years ago, 50 cases of posterior optic neuritis patients with a total of 80 eyes. The disease is mainly young adults. When the first visit all eyesight loss, but a few objective tests were normal. The vast majority of vision abnormalities (normal nipple, a few have pupillary abnormalities .As vision loss is subjective, the fundus is often normal, the diagnosis should focus on field examination .At follow-up, 47.1% of eyes with normal vision returned to normal. Most of the visual field returned to normal , Optic disc and pupil abnormalities slightly increased compared with the first visit.The visual acuity, visual field and optic nerve all returned to normal accounted for 36.7%, 30.6% of the two normal, all not normal 8.2%, indicating that the prognosis of this disease is better, only A small number of patients left lesions, long gone.