Munk Marion R, Mirza Rukhsana G, Jampol Lee M
Department of Ophthalmology, Northwestern University, Feinberg School of Medicine, Chicago, IL 60611, USA.
Int J Mol Sci. 2014 Sep 4;15(9):15734-40. doi: 10.3390/ijms150915734.
Retinal artery occlusion can be the first indicator of a significant cardiovascular disorder and the need for treatment. We present the case of a 69-year-old man with a cilioretinal artery occlusion and retinal ischemia. Retinal imaging, in particular fundus autofluorescence, highlighted an intraluminal hyperautofluorescent lesion which led to the diagnosis of retinal emboli. Subsequently a severe, previously undiagnosed carotid occlusive disease was discovered. The patient underwent prompt endarterectomy.
视网膜动脉阻塞可能是严重心血管疾病及治疗需求的首个指标。我们报告一例69岁男性患有睫状视网膜动脉阻塞和视网膜缺血的病例。视网膜成像,尤其是眼底自发荧光,突出显示了管腔内高自发荧光病变,从而诊断为视网膜栓子。随后发现了严重的、先前未被诊断出的颈动脉闭塞性疾病。该患者迅速接受了动脉内膜切除术。