BMJ Best Practice
最后审核时间: 十月 2018
最近更新时间: 一月 2018

小结

定义

病史和查体

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

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

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
全部具体信息

需要考虑的检查

  • 血清维生素 A(视黄醇)水平
全部具体信息

治疗流程

贡献者

Consultant Ophthalmologist

Sunderland Eye Infirmary

Sunderland

UK

利益冲突披露
JS declares that he has received travel and meeting costs from Novartis and Bayer.

Consultant Ophthalmologist

Sunderland Eye Infirmary

Sunderland

UK

利益冲突披露
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

利益冲突披露
MN declares that he has no competing interests.

Klara Spinks Fleming Fellow

Jules Stein Eye Institute

UCLA

Los Angeles

CA

利益冲突披露
EA declares that he has no competing interests.

Emeritus Professor and Chairman

Department of Ophthalmology

University of California

San Francisco

CA

利益冲突披露
CSH declares that he has no competing interests.

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