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为了加深认识多发性硬化(multiplesclerosis,MS)与眼科的关系,回顾分析MS112例。首发症状中有视力障碍者占65.1%。眼科检查可见多种视野改变,并有眼肌麻痹、眼震、瞳孔及眼底改变等。临床定位累及视神经占67.8%。文中探讨视神经炎(opticneuritis,ON)与MS的联系,并认为Devic氏病系MS一个类型。眼科医师应与神经科医师协作进行必要的检查,以期尽早确诊。强调早期大剂量激素静滴治疗ON可能预防或推迟MS的发病
In order to deepen the understanding of the relationship between multiple sclerosis (MS) and ophthalmology, retrospective analysis of MS112 cases. The first symptom of visually impaired accounted for 65.1%. Eye examination revealed a variety of visual field changes, and ophthalmoplegia, nystagmus, pupil and fundus changes. Clinical location involving the optic nerve accounted for 67.8%. This article discusses the relationship between optic neuritis (ON) and MS and considers that Devic’s disease is a type of MS. The ophthalmologist should collaborate with the neurologist to conduct the necessary examinations as soon as possible. Emphasis on early high-dose hormonal infusion of ON may prevent or delay the onset of MS