Niestrata-Ortiz Magdalena, Li Ji-Peng Olivia, Davies Nigel
Chelsea and Westminster Hospital, London, UK.
Moorfields Hospital, London, UK.
BMJ Case Rep. 2014 Nov 17;2014:bcr2014207236. doi: 10.1136/bcr-2014-207236.
This case illustrates an oculoischaemic syndrome presenting with iris neovascularisation in a patient with established diabetic retinopathy. It highlights the importance of considering the differential diagnosis of rubeosis in all patients, including those with an underlying vascular pathology. Moreover, it urges clinicians to consider the sequelae of a compromised vascular system, such as the iatrogenic central retinal artery occlusion as a result of intravitreal injections. Early diagnosis not only informs correct ophthalmic treatment, but is crucial in preventing ischaemic stroke and, therefore, reducing the risk of systemic morbidity and mortality.
该病例展示了一名患有糖尿病视网膜病变的患者出现虹膜新生血管的眼缺血综合征。它强调了在所有患者中，包括那些有潜在血管病变的患者，考虑虹膜红变鉴别诊断的重要性。此外，它促使临床医生考虑血管系统受损的后遗症，如玻璃体内注射导致的医源性视网膜中央动脉阻塞。早期诊断不仅有助于正确的眼科治疗，而且对于预防缺血性中风至关重要，因此可降低全身发病和死亡风险。
