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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.

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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