高压氧治疗联合系统性治疗镰状细胞病所致视网膜中央动脉阻塞：一例报告
Hyperbaric oxygen therapy in combination with systemic treatment of sickle cell disease presenting as central retinal artery occlusion: a case report.
作者信息
Canan Handan, Ulas Burak, Altan-Yaycioglu Rana
机构信息
Department of Ophthalmology, Baskent University School of Medicine, Dadaloglu mah, Serinevler 2591 No 4/A 01250, Yuregır, Adana, Turkey.
出版信息
J Med Case Rep. 2014 Nov 17;8:370. doi: 10.1186/1752-1947-8-370.
INTRODUCTION
We describe hyperbaric oxygen therapy for the treatment of central retinal artery occlusion in a young adult with sickle cell disease.
CASE PRESENTATION
A 25-year-old Turkish man with a history of sickle cell disease developed sudden painless loss of vision in the left eye and was hospitalized for diagnosis and treatment. Central retinal artery occlusion was diagnosed with retinal whitening, cherry red spot, and delayed arteriovenous transit on fluorescein angiography. He underwent exchange transfusion and hyperbaric oxygen therapy. In the following three months, his visual acuity improved to 20/30.
CONCLUSIONS
In this present case with sickle cell disease, the visual acuity improved with hyperbaric oxygen therapy in addition to systemic therapy. The result of our case suggests that hyperbaric oxygen therapy may be beneficial in the treatment of central retinal artery occlusion.
引言
我们描述了高压氧疗法用于治疗一名患有镰状细胞病的年轻成年人的视网膜中央动脉阻塞。
病例介绍
一名25岁有镰状细胞病史的土耳其男子左眼突然无痛性视力丧失，住院进行诊断和治疗。通过视网膜变白、樱桃红斑以及荧光素血管造影显示动静脉传输延迟诊断为视网膜中央动脉阻塞。他接受了换血疗法和高压氧疗法。在接下来的三个月里，他的视力提高到了20/30。
结论
在这个镰状细胞病病例中，除了全身治疗外，高压氧疗法使视力得到改善。我们病例的结果表明高压氧疗法可能对治疗视网膜中央动脉阻塞有益。
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