Rosenbaum Pearl S, Srinivasan Sharmila, Zelefsky Joseph R, Mayers Martin, Moradi Issac E
Department of Ophthalmology, Bronx-Lebanon Hospital Center, Albert Einstein College of Medicine, Bronx, New York 10457, USA.
J Pediatr Ophthalmol Strabismus. 2010 Jul 22;47 Online:e1-4. doi: 10.3928/01913913-20100719-11.
A 14-year-old girl presented with sudden, painless loss of vision in the left eye. Complete ophthalmologic examination including fluorescein angiography revealed an impending central vein occlusion and a branch retinal artery occlusion inferotemporally. One month later, there was a non-ischemic central retinal vein occlusion of the same eye. Systemic evaluation led to the diagnosis of hyperhomocysteinemia. This case report underscores the importance of excluding hyperhomocysteinemia in vascular occlusive disease.
一名14岁女孩出现左眼突然无痛性视力丧失。包括荧光素血管造影在内的全面眼科检查显示即将发生中央静脉阻塞以及颞下分支视网膜动脉阻塞。1个月后，同一只眼睛出现非缺血性中央视网膜静脉阻塞。全身评估诊断为高同型半胱氨酸血症。本病例报告强调了在血管闭塞性疾病中排除高同型半胱氨酸血症的重要性。
