巩鸿霞 亢雷

    【摘 要】目的 观察非动脉炎性前部缺血性视神经病变(NAION)合并隐匿的视网膜分支静脉阻塞(BRVO)患者的临床特征。方法 选取2019年10月-2021年10月天津市眼科医院收治的9例(9眼)确诊为NAION合并隐匿的BRVO患者为研究对象，均行最佳矫正视力(BCVA)、间接检眼镜、视野、荧光素眼底血管造影检查，并给予全身改善循环治疗。观察治疗前后视力、视野缺损(MD)及敏感度(MS)变化。结果 9例患者治疗后末次检查BCVA为0.5～1.0，平均BCVA(0.72±0.24)，平均MD(9.20±2.35)，平均MS(17.87±2.20)；治疗1个疗程后患者视野缺损得到改善，治疗结束后患者视力均提高2行以上，视野较前改善；治疗后随访7个月发现，患者视野已基本恢复。结论 临床对于NAION合并隐匿的BRVO诊断需要借助于FFA检查，经早期积极治疗一般预后良好。

    【关键词】非动脉炎性前部缺血性视神经病变；视网膜分支静脉阻塞；FFA检查；视野

    中图分类号：R774 文献标识码：A 文章编号：1004-4949(2023)02-0061-04

    Clinical Features of 9 Cases of Nonarteritic Anterior Ischemic Optic Neuropathy with Occult Branch Retinal Vein Occlusion.

    GONG Hong-xia， KANG Lei

    (Tianjin Eye Hospital/ Tianjin Key Laboratory of Ophthalmology and Visual Science/ Clinical College of Ophthalmology， Tianjin Medical University/ Nankai University Affiliated Eye Hospital， Tianjin 300000， China)

    【Abstract】Objective To observe the clinical features of nonarteritic anterior ischemic optic neuropathy (NAION) with occult branch retinal vein occlusion (BRVO). Methods From October 2019 to October 2021， 9 patients ( 9 eyes ) diagnosed with NAION combined with occult BRVO in Tianjin Eye Hospital were selected as the research objects. All patients underwent best corrected visual acuity ( BCVA ) ......