菲律宾一家三级医院视交叉旁病变的眼科检查结果。

Q4 Medicine
Acta Medica Philippina Pub Date : 2025-06-13 eCollection Date: 2025-01-01 DOI:10.47895/amp.vi0.9712
Kevin John D Sy, Franz Marie O Cruz
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引用次数: 0

摘要

背景和目的:视交叉旁病变被定义为在视交叉周围或附近的结构中产生的肿块或生长。在这种情况下可观察到视力模糊、视野缺损、双眼重影等眼科体征和症状。本研究的主要目的是描述在菲律宾一家机构咨询的患者中出现的视交叉旁病变的眼科体征和症状。方法:本研究为单中心、回顾性、队列研究。回顾了2014年1月至2019年12月菲律宾某三级医院神经眼科门诊的视交叉旁病变患者的病历。临床概况,神经眼科表现,诊断,管理和视力结果总结描述性统计。结果:133例患者符合研究标准。最常见的症状是视力模糊。头痛,视力下降。初次就诊时视力为20/20至无光感。在一半的研究人群中出现了相对的瞳孔传入缺损。几乎一半表现为正常的椎间盘或椎间盘苍白。双颞偏视是在直视和自动视野测试中最常见的视野缺陷类型。组织病理学与视觉结果显著相关。结论:在主诉单侧视力模糊和视盘正常或苍白的患者中应怀疑视交叉旁病变。垂体腺瘤是最常见的放射学和组织病理学诊断。三分之二的患者干预后视力改善或保持稳定;视力恢复是多因素的,受持续时间、手术和组织病理学的影响。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Ophthalmologic Findings of Parachiasmal Lesions in a Tertiary Philippine Hospital.

Background and objective: A parachiasmal lesion is defined as a mass or growth arising from structures around or near the chiasm. Ophthalmologic signs and symptoms may be observed in such condition, such as blurring of vision, visual field defects, and binocular double vision. The primary objective of this study was to describe the presenting ophthalmologic signs and symptoms of parachiasmal lesions among patients consulting at a single institution in the Philippines.

Methods: This was a single-center, retrospective, cohort study. Medical records of patients with parachiasmal lesions seen in the Neuro-Ophthalmology clinic of a tertiary Philippine hospital from January 2014 to December 2019 were reviewed. Clinical profile, neuro-ophthalmologic presentation, diagnosis, management, and visual outcomes were summarized by descriptive statistics.

Results: One hundred thirty-three (133) patient records satisfied the study criteria. Most common presenting symptoms were blurring of vision. headache, and loss of vision. Visual acuity at initial visit ranged from 20/20 to no light perception. A relative afferent pupillary defect was present in half of the study population. Almost half presented with normal-looking discs or disc pallor. Bitemporal hemianopia is the most common visual field defect pattern seen in both confrontation and automated visual field testing. Histopathology was significantly associated with visual outcome.

Conclusion: Parachiasmal lesion should be suspected in patients who complain of unilateral blurring of vision, and those who present with normal or pale optic discs. Pituitary adenoma is the most common radiologic and histopathologic diagnosis. Visual outcome after intervention has improved or remained stable in two-thirds of patients; visual recovery is multi-factorial, which is influenced by duration, surgery, and histopathology.

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来源期刊
Acta Medica Philippina
Acta Medica Philippina Medicine-Medicine (all)
CiteScore
0.40
自引率
0.00%
发文量
199
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