摘要功能性视觉障碍属于功能性神经系统疾病,临床检测与已知的眼部或神经系统疾病无法对应,主要临床表现为视力下降,视野缺损。该病严重影响了患者的日常生活,凭借临床表现很难与其他视力障碍的疾病进行鉴别。部分患者接受了不必要的治疗,故临床上的早期诊断和精确治疗显得尤为重要。本文对功能性视觉障碍的临床特征、病理机制、诊断及鉴别诊断、辅助检查、治疗管理及预后进行概述,以期提高临床诊断率和治疗率,改善患者预后。
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abstractsFunctional visual disorder (FVD) belongs to functional neurological disorder (FND), and clinical examination and testing are not consistent with clinical ophthalmic or neurological disease.The major clinical manifestations are visual acuity loss and visual field loss.FVD has a serious impact on patients′ daily life, and it is difficult to distinguish from other visual disorders by its clinical manifestations. Some patients receive unnecessary treatments, so early diagnosis and accurate treatment are particularly important. This article reviews the clinical characteristics, pathological mechanism, diagnosis and differential diagnosis, auxiliary examination, management and prognosis of FVD in order to improve clinical diagnostic and therapeutic rates and patient prognosis.
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