Tashiro T, Masuda H, Ichioka T
Meikai Daigaku Shigaku Zasshi. 1989;18(3):445-53.
A 74-year-old female with acquired macroaneurysms of the retinal arteries of the left eye is presented. During a follow-up period of three years of this rare case, six macroaneurysms developed one after another. Three of them were treated by argon laser photocoagulation because of severe complications such as retinal haemorrhage and exudation onto the macula. However, recovery of visual function of the final stage following treatment was unsatisfactory. Concerning the unusual clinical course of this case, we speculate that severe arteriolosclerosis of the retinal vessels played a fundamental role in this pathological condition.
本文报告了一名74岁患有左眼视网膜动脉后天性大动脉瘤的女性患者。在对这一罕见病例的三年随访期间,先后出现了6个大动脉瘤。其中3个因出现黄斑区视网膜出血和渗出等严重并发症而接受了氩激光光凝治疗。然而,治疗后最终阶段的视功能恢复并不理想。关于该病例不同寻常的临床过程,我们推测视网膜血管的严重小动脉硬化在这种病理状况中起了根本作用。