Wang Tao, Zhang Hui-rong, Lu Xin-rong, Qian Fang
Peking University Third Hospital, Peking University Ophthalmic Center, Beijing 100083, China.
Zhonghua Yan Ke Za Zhi. 2008 Jun;44(6):521-4.
To summarize the clinical characteristics of retinal arterial macroaneurysm and to improve the diagnosis accuracy in order to differentiate it from other fundus diseases.
It was a retrospective case series.
of fluorescein angiography or indocyanine angiography, associated with ultrasound, OCT and several other examinations were analyzed in 22 patients (22 eyes) with retinal arterial macroaneurysm.
There were 6 men and 16 women in the 22 patients. The age of all the patients was from 54 to 82 years, and the mean age was 70 years. In the 22 patients, the patient with a single macroaneurysm was 19, and with two macroaneurysms was 3. All 22 patients were affected unilaterally. Macroaneurysms were found only in the temporal artery branches (16 eyes in superior branch and 6 eyes in inferior branch). All macroaneurysms were located in the branches graded 1 to 3. All patients showed pre-retinal hemorrhage and/or vitreous hemorrhage. Sixteen patients suffered from hypertension and five patients had diabetes mellitus. The patient with best corrected visual acuity < 0.05 was 10, 0.05 to 0.2 was 6, 0.3 to 0.6 was 5 and > or = 0.7 was 1. All patients showed retinal arteriosclerosis. After the treatment, 11 patients were pursued,and the patient with best corrected visual acuity < 0.05 was 1, 0.05 to 0.2 was 4 and > or = 0.7 was 1.
Clinical features of retinal arterial macroaneurysm include focal dilation of retinal artery with hemorrhages and exudates, associated with retinal arteriosclerosis. These clinical characteristics can be used to differentiate retinal arterial macroaneurysm from other fundus diseases.
总结视网膜动脉大动脉瘤的临床特征，提高诊断准确性，以与其他眼底疾病相鉴别。
这是一项回顾性病例系列研究。
对22例（22只眼）视网膜动脉大动脉瘤患者的荧光素血管造影或吲哚菁绿血管造影结果，联合超声、光学相干断层扫描（OCT）及其他多项检查进行了分析。
22例患者中男性6例，女性16例。所有患者年龄在54至82岁之间，平均年龄70岁。22例患者中，单个大动脉瘤19例，两个大动脉瘤3例。所有22例患者均为单眼患病。大动脉瘤仅见于颞侧动脉分支（上支16只眼，下支6只眼）。所有大动脉瘤均位于1至3级分支。所有患者均有视网膜前出血和/或玻璃体出血。16例患者患有高血压，5例患者患有糖尿病。最佳矫正视力<0.05的患者10例，0.05至0.2的患者6例，0.3至0.6的患者5例，≥0.7的患者1例。所有患者均有视网膜动脉硬化。治疗后对11例患者进行随访，最佳矫正视力<0.05的患者1例，0.05至0.2的患者4例，≥0.7的患者1例。
视网膜动脉大动脉瘤的临床特征包括视网膜动脉局限性扩张伴出血和渗出，伴有视网膜动脉硬化。这些临床特征可用于将视网膜动脉大动脉瘤与其他眼底疾病相鉴别。
