多发性硬化是中枢神经系统的原发性、多灶性脱髓鞘疾病。多发生于20～40岁之间。发病可急可缓,病程短者数日,长者可达数十年。在我国比较少见,自1939年以来由眼科医师报道者共13例,其中以眼部表现为首发症状者共9例。本人曾遇一例以眼部症状为首发的多发性硬化患者,先后经两所医院多次诊治,均误诊为其它原因所致球后视神经炎而予治疗,直到疾病的最后阶段才确诊为多发性硬化。现将该例报告如下。孟××女44岁农民已婚病历号5562 Multiple sclerosis is a primary, multifocal demyelinating disease of the central nervous system. Occurred between 20 to 40 years old. Emergencies may be slow, short course of a few days, the elderly up to several decades. In our country is relatively rare, since 1939, a total of 13 cases reported by ophthalmologists, of which the first symptom of eye performance were 9 cases. I have encountered a case of ocular symptoms as the first episode of multiple sclerosis patients, has repeatedly diagnosed and treated by two hospitals, were misdiagnosed as other causes of retrobulbar optic neuritis and treatment, until the final stage of the disease was diagnosed as multiple hardening. The case is now reported as follows. Meng × × female 44-year-old farmer married medical record number 5562