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[颈动脉颅外段状态与原发性开角型青光眼]

[State of extracranial segments of the carotid arteries and primary open-angle glaucoma].

作者信息

Nesterov A P, Kuperberg E B, Listopadova N A

出版信息

Vestn Oftalmol. 1990 Nov-Dec;106(6):36-40.

PMID:2075655
Abstract

Examinations of 203 patients (100 ones with occlusion abnormalities of the extracranial segments of the carotid arteries and 103 with primary open-angle glaucoma) by means of ophthalmologic and dopplerographic techniques have revealed no relationship between occlusion abnormalities of the carotid arteries and glaucoma development. This fact is explained by collateral circulation development via the orbital anastomosis and anterior connective artery that provide ocular circulation compensation in occlusion of the internal carotid artery. Noteworthy that the incidence of occlusion involvement of the carotid arteries in glaucoma (8.7 percent of cases) corresponds to the incidence of this abnormality in a random sample of an age-matched population. These results suggest an independent mechanism of circulation autoregulation in the eye and optic nerve.

摘要

通过眼科和多普勒超声技术对203例患者(100例患有颈动脉颅外段闭塞异常,103例患有原发性开角型青光眼)进行检查,结果显示颈动脉闭塞异常与青光眼的发生之间没有关联。这一事实可通过眼眶吻合支和前交通动脉形成的侧支循环来解释,这些血管在颈内动脉闭塞时可提供眼部循环补偿。值得注意的是,青光眼患者中颈动脉闭塞受累的发生率(8.7%)与年龄匹配的随机样本人群中该异常的发生率相当。这些结果提示眼和视神经存在独立的循环自动调节机制。

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