Sivalingam A, Brown G C, Magargal L E
Retina Vascular Unit, Wills Eye Hospital, Thomas Jefferson University, Philadelphia, Pa.
Int Ophthalmol. 1991 Jan;15(1):15-20. doi: 10.1007/BF00150974.
The records of fifty-two consecutive patients with the ocular ischemic syndrome seen between 1978 and 1985 were reviewed with the purpose of investigating the visual prognosis and effects of treatment. On initial presentation, 43% of affected eyes had a visual acuity of 20/20-20/50, whereas 37% were counting fingers or worse. By the end of one year, only 24% remained in the 20/20-20/50 group, while 58% were counting fingers or worse. The presence of rubeosis iridis was an indicator of poor visual prognosis. Ninety-seven percent of eyes with rubeosis had vision of counting fingers or worse at the end of one year. We were unable to demonstrate convincingly that carotid endarterectomy and superficial temporal artery to middle cerebral artery bypass were of benefit in stabilizing or improving vision in persons with the ocular ischemic syndrome.
回顾了1978年至1985年间连续收治的52例眼部缺血综合征患者的病历，目的是研究其视力预后及治疗效果。初次就诊时，43%的患眼视力为20/20 - 20/50，而37%的患眼仅能数指或视力更差。到一年结束时，只有24%的患眼仍处于20/20 - 20/50组，而58%的患眼仅能数指或视力更差。虹膜红变的存在是视力预后不良的一个指标。97%患有虹膜红变的患眼在一年结束时视力仅能数指或更差。我们无法令人信服地证明颈动脉内膜切除术和颞浅动脉至大脑中动脉搭桥术对稳定或改善眼部缺血综合征患者的视力有益。
