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视网膜中央动脉阻塞急性表现中的黄斑囊样水肿。

Cystoid macular edema in acute presentation of central retinal artery occlusion.

作者信息

Ng Wei Yan, Wong Doric W K, Yeo Ian Y S, Han Daphne C Y

机构信息

Department of Ophthalmology, Singapore National Eye Centre, Singapore 168751.

出版信息

Case Rep Ophthalmol Med. 2012;2012:530128. doi: 10.1155/2012/530128. Epub 2012 Apr 4.

DOI:10.1155/2012/530128
PMID:22606497
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC3350002/
Abstract

A seventy-six-year-old lady with poor vision of the left eye due to previous retinal detachment presented with acute visual loss of her right eye secondary to central retinal artery occlusion. Clinical examination showed a pale right optic disc, macular edema, and a cherry red spot. Optical coherence tomography done four hours after onset showed right acute cystoid macular edema and diffuse inner retinal thickening. Subsequent treatment with intravenous carbonic anhydrase inhibitor resulted in some visual improvement. Central retinal artery occlusion has been known to produce diffuse intraretinal edema instead of cystoids changes. We would like to discuss a case of acute cystoid macular edema in acute central retinal artery occlusion.

摘要

一位76岁女性，因既往视网膜脱离导致左眼视力不佳，现因视网膜中央动脉阻塞继发右眼急性视力丧失前来就诊。临床检查发现右侧视盘苍白、黄斑水肿及樱桃红斑。发病4小时后进行的光学相干断层扫描显示右眼急性囊样黄斑水肿及视网膜内层弥漫性增厚。随后静脉注射碳酸酐酶抑制剂治疗后视力有所改善。已知视网膜中央动脉阻塞会导致视网膜内弥漫性水肿而非囊样改变。我们想讨论一例急性视网膜中央动脉阻塞伴急性囊样黄斑水肿的病例。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a13c/3350002/a748f75f9c40/CRIM.OPHMED2012-530128.004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a13c/3350002/2e95cd19f330/CRIM.OPHMED2012-530128.001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a13c/3350002/c283a41812d5/CRIM.OPHMED2012-530128.002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a13c/3350002/174c3b21cb1b/CRIM.OPHMED2012-530128.003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a13c/3350002/a748f75f9c40/CRIM.OPHMED2012-530128.004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a13c/3350002/2e95cd19f330/CRIM.OPHMED2012-530128.001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a13c/3350002/c283a41812d5/CRIM.OPHMED2012-530128.002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a13c/3350002/174c3b21cb1b/CRIM.OPHMED2012-530128.003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a13c/3350002/a748f75f9c40/CRIM.OPHMED2012-530128.004.jpg

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本文引用的文献

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[Examination of the acute central retinal artery occlusion (CRAO) by means of optical coherence tomography (OCT3)].[利用光学相干断层扫描（OCT3）对急性视网膜中央动脉阻塞（CRAO）进行检查]
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Etiology and treatment of macular edema.黄斑水肿的病因及治疗
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Central retinal artery occlusion: findings in optical coherence tomography and functional correlations.视网膜中央动脉阻塞：光学相干断层扫描结果及功能相关性
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Retinal OCT findings in acute central retinal artery occlusion of varying severity at different disease stages - a retrospective, observational study.不同疾病阶段不同严重程度的急性视网膜中央动脉阻塞的视网膜光学相干断层扫描结果——一项回顾性观察研究
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