经活检证实的巨细胞动脉炎伴发视网膜中央动脉阻塞后继发视网膜中央静脉阻塞

Central Retinal Artery Occlusion With Subsequent Central Retinal Vein Occlusion in Biopsy-Proven Giant Cell Arteritis.

作者信息

Williams Zoë R, Wang Xiaofei, DiLoreto David A

机构信息

Flaum Eye Institute (ZRW, DAD), University of Rochester Medical Center, Rochester, New York; Department of Ophthalmology (XW), Rochester General Hospital, Rochester, New York.

出版信息

J Neuroophthalmol. 2016 Sep;36(3):290-1. doi: 10.1097/WNO.0000000000000385.

DOI:10.1097/WNO.0000000000000385

PMID:27261946

Abstract

Central retinal artery occlusion with subsequent central retinal vein occlusion in the same eye is a rare entity. We present a 72-year-old man with biopsy-proven giant cell arteritis who developed bilateral arteritic anterior ischemic optic neuropathy and a left central retinal artery occlusion. Subsequently, he developed a left central retinal vein occlusion within 2 weeks of his initial vision loss. His vision did not improve with corticosteroids.

摘要

同一眼先后发生视网膜中央动脉阻塞和视网膜中央静脉阻塞是一种罕见的情况。我们报告一名72岁经活检证实为巨细胞动脉炎的男性患者，其发生了双侧动脉炎性前部缺血性视神经病变及左眼视网膜中央动脉阻塞。随后，在其首次视力丧失后的2周内，他又发生了左眼视网膜中央静脉阻塞。使用皮质类固醇治疗后其视力并未改善。