Ishikawa A, Muroi S
Department of Ophthalmology, Tohoku University School of Medicine, Miyagi, Japan.
Ophthalmologica. 1990;201(1):14-8. doi: 10.1159/000310118.
Two patients who had retinal artery occlusion associated with impaired peripapillary choroidal circulation were followed up ophthalmoscopically, to evaluate the appearance of the optic disk. The first patient showed central retinal artery occlusion, and the second patient demonstrated branch retinal artery occlusion. A peripapillary choroidal filling defect was noted in both cases by fluorescein angiography, suggesting an association with anterior ischemic optic neuropathy. The first patient exhibited optic atrophy without demonstrating pale disk edema. The second patient showed pale disk edema, but a sectorial defect of disk swelling was noted in the quadrant that corresponded to the area affected by branch retinal artery occlusion.
两名患有视网膜动脉阻塞并伴有视乳头周围脉络膜循环受损的患者接受了检眼镜随访，以评估视盘外观。第一名患者表现为视网膜中央动脉阻塞，第二名患者表现为视网膜分支动脉阻塞。荧光素血管造影在两例中均发现视乳头周围脉络膜充盈缺损，提示与前部缺血性视神经病变有关。第一名患者出现视神经萎缩，但未显示视盘苍白水肿。第二名患者表现为视盘苍白水肿，但在与视网膜分支动脉阻塞受累区域相对应的象限中发现视盘肿胀的扇形缺损。
