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冠状动脉导管插入术期间的睫状视网膜动脉阻塞

Cilioretinal artery occlusion during coronary catheterization.

作者信息

Loewenstein A, Goldstein M, Roth A, Lazar M

机构信息

Department of Ophthalmology, Ichilov Hospital, Tel-Aviv, Israel.

出版信息

Acta Ophthalmol Scand. 1999 Dec;77(6):717-8. doi: 10.1034/j.1600-0420.1999.770624.x.

DOI:10.1034/j.1600-0420.1999.770624.x
PMID:10634572
Abstract

PURPOSE

To report on a patient with cilioretinal artery occlusion during cardiac catheterization.

METHODS

A 51-year-old man complained of blurred vision in the left eye immediately following cardiac catheterization. Visual acuity was 6/12 and the eye had a dense central scotoma.

RESULTS

Mild retinal whitening of the posterior pole and segmented filling of the cilio-retinal artery established the diagnosis of cilioretinal artery occlusion. Immediate paracentesis was performed. Two weeks later, a tiny central scotoma could be observed and visual acuity was 6/6.

CONCLUSIONS

Cardiac catheterization may result in retinal infarction. Awareness to any visual symptoms, immediate diagnosis and prompt intervention may prevent permanent visual impairment.

摘要

目的

报告一例心脏导管插入术期间发生睫状视网膜动脉阻塞的患者。

方法

一名51岁男性在心脏导管插入术后立即出现左眼视力模糊。视力为6/12,眼部有浓密的中心暗点。

结果

后极部视网膜轻度变白以及睫状视网膜动脉节段性充盈确诊为睫状视网膜动脉阻塞。立即进行了前房穿刺。两周后,可观察到微小的中心暗点,视力为6/6。

结论

心脏导管插入术可能导致视网膜梗死。意识到任何视觉症状、立即诊断并及时干预可预防永久性视力损害。

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引用本文的文献

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Case report: acute isolated cilioretinal artery occlusion secondary to percutaneous coronary intervention.病例报告:经皮冠状动脉介入治疗后继发急性孤立性睫状视网膜动脉阻塞。
J Cardiothorac Surg. 2023 Oct 17;18(1):297. doi: 10.1186/s13019-023-02379-y.
2
Branch Retinal Artery Occlusion after Percutaneous Coronary Intervention.经皮冠状动脉介入治疗后视网膜动脉分支阻塞
Case Rep Cardiol. 2021 Apr 27;2021:9985568. doi: 10.1155/2021/9985568. eCollection 2021.
3
Preservation of retinal structure and function after cilioretinal artery occlusion: a case report.
睫状视网膜动脉阻塞后视网膜结构和功能的保存:一例报告
Int Med Case Rep J. 2016 Feb 11;9:29-34. doi: 10.2147/IMCRJ.S96858. eCollection 2016.
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Cilioretinal artery occlusions following embolization of an artery to an intracranial meningioma.颅内脑膜瘤供血动脉栓塞术后的睫状视网膜动脉阻塞
Graefes Arch Clin Exp Ophthalmol. 2006 Mar;244(3):401-3. doi: 10.1007/s00417-005-0054-z. Epub 2005 Jul 30.