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1例前部缺血性视神经病变后并发视网膜分支动脉阻塞。

A case of branch retinal artery obstruction complicated after anterior ischemic optic neuropathy.

作者信息

Kim Ungsoo Samuel, Kim Hyoung-Seok, Lew Young Ju

机构信息

Department of Ophthalmology, Kim's Eye Hospital, Konyang University College of Medicine, Seoul, Korea.

出版信息

Int J Ophthalmol. 2011;4(4):447-8. doi: 10.3980/j.issn.2222-3959.2011.04.24. Epub 2011 Aug 18.

Abstract

AIM

To report a case of branch retinal artery obstruction (BRAO) complicated after anterior ischemic optic neuropathy (AION).

METHODS

A 42 year-old woman who complained of visual disturbance was performed ophthalmological examinations such as fundus photography, fluorescent angiography (FAG) and visual field test.

RESULTS

At first visit, disc swelling was noted and arterial circulation was intact, however, 1 week after onset, the inferior branch retinal artery began to shrink and the flame hemorrhage intensified. Sixteen months later, the optic disc evidenced an atrophic change; additionally, a ghost vessel in the inferior branch retinal artery was found.

CONCLUSION

We report a case of complications of BRAO arising after AION which caused the mechanical compression on the arterial circulation.

摘要

目的

报告1例前部缺血性视神经病变(AION)后并发视网膜分支动脉阻塞(BRAO)的病例。

方法

对1例主诉视力障碍的42岁女性进行了眼底照相、荧光血管造影(FAG)和视野检查等眼科检查。

结果

初诊时可见视盘肿胀且动脉循环完整,然而,发病1周后,视网膜下分支动脉开始变细,火焰状出血加重。16个月后,视盘出现萎缩性改变;此外,在视网膜下分支动脉中发现了一条残留血管。

结论

我们报告1例AION后发生BRAO并发症的病例,该并发症导致了动脉循环的机械性压迫。

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