Munteanu G, Munteanu M
Clinica de Oftalmologie, Timişoara.
Oftalmologia. 2000;52(3):49-52.
Two clinical cases are displayed, age over 70, with multiple vascular risk factors; following the retrobulbar injection performed for cataract surgery, retrobulbar hematoma and ischemic anterior neuropathy developed as complications. Pathogenesis of the optic ischemic anterior neuropathy may be explained by changes of a precarious hemodynamic balance and witch was previously settled, due to mechanic compression and increase of the intraocular pressure, which lead to the decrease of the blood pressure and implicitly to the development of optic neuropathy.
展示了两个临床病例,患者年龄超过70岁,有多种血管危险因素;在白内障手术进行球后注射后,出现球后血肿和缺血性前部神经病并发症。视神经缺血性前部神经病的发病机制可解释为,由于机械压迫和眼内压升高导致先前已建立的不稳定血流动力学平衡发生改变,进而导致血压下降并隐性地引发视神经病变。