Mazlout H, Trojet S, Toumi A, Kefi S, Ben Kacem K, Nouhaili H, Dkhillali R, Afrit M A, Kraiem A
Service d'Ophtalmologie, Hôpital Habib Thameur, Tunis, Tunisie.
J Fr Ophtalmol. 2010 Jan;33(1):52.e1-5. doi: 10.1016/j.jfo.2009.11.007. Epub 2009 Dec 22.
Retinal vein occlusion is usually encountered in the elderly and is often associated with systemic vascular disease. It is rarer in young subjects and requires a serious etiological search to best adapt the treatment.
We report the case of a central retinal vein occlusion (CRVO) in a 26-year-old patient who had no pathological history, discovered at a sudden decline of vision in the right eye, reduced to light perception. Fundus examination and retinal angiography showed an edematous CRVO. Radiologic imaging revealed a narrowing of the right carotid canal, probably congenital, and a reduction in the size of the right common carotid artery and internal carotid artery. Progression was favorable without treatment, and visual acuity improved to 8/10.
The etiological investigation in retinal vein occlusion in young people must be exhaustive. The visual prognosis is variable and may depend on the etiology.
视网膜静脉阻塞通常见于老年人,且常与全身血管疾病相关。在年轻患者中较为罕见,需要进行认真的病因查找以便最佳地调整治疗方案。
我们报告一例26岁无病史的中心性视网膜静脉阻塞(CRVO)患者,该患者右眼视力突然下降至仅有光感时被发现。眼底检查和视网膜血管造影显示为水肿性CRVO。放射影像学检查显示右侧颈动脉管狭窄,可能为先天性,右侧颈总动脉和颈内动脉管径变细。未经治疗病情进展良好,视力提高到了8/10。
对年轻人视网膜静脉阻塞的病因调查必须详尽。视觉预后各不相同,可能取决于病因。