Seo Man-Seong, Woo Jae-Moon, Seo Jeong-Jin
Department of Ophthalmology, Chonnam National University Medical School and Hospital, Chonnam National University Research Institute for Medical Sciences, Kwangju, South Korea.
Jpn J Ophthalmol. 2002 Mar-Apr;46(2):198-202. doi: 10.1016/s0021-5155(01)00486-5.
Cilioretinal artery occlusion rarely results in neovascular glaucoma, especially in cases of extensive cilioretinal infarction and combined retinal vascular occlusion.
A 62-year-old man with diabetes mellitus and essential hypertension showed a visual acuity of counting fingers, retinal whitening temporal to the optic disc with mild dilation and tortuosity of the retinal veins, and retinal hemorrhages in four quadrants of his right eye. Fluorescein angiography demonstrated a delayed filling of the central retinal vein and cilioretinal artery.
Two months later, neovascular glaucoma developed and retinal ablation was performed using an argon laser. Trabeculectomy was also performed due to the intractability of the glaucoma, and central artery occlusion was found. On magnetic resonance angiography, the right distal common carotid artery was irregularly narrowed and the right ophthalmic artery was almost entirely occluded.
In cases of cilioretinal artery occlusion and perfused central retinal vein occlusion with multiple risk factors, close follow-up is advised.
睫状视网膜动脉阻塞很少导致新生血管性青光眼，尤其是在广泛的睫状视网膜梗死和合并视网膜血管阻塞的情况下。
一名62岁患有糖尿病和原发性高血压的男性，右眼视力为指数，视盘颞侧视网膜变白，视网膜静脉轻度扩张和迂曲，四个象限有视网膜出血。荧光素血管造影显示视网膜中央静脉和睫状视网膜动脉充盈延迟。
两个月后，发生了新生血管性青光眼，并使用氩激光进行了视网膜光凝。由于青光眼难以控制，还进行了小梁切除术，并发现了中央动脉阻塞。磁共振血管造影显示，右侧颈总动脉远端不规则狭窄，右侧眼动脉几乎完全闭塞。
对于存在多种危险因素的睫状视网膜动脉阻塞和灌注良好的视网膜中央静脉阻塞病例，建议密切随访。
