绞窄性中央视网膜动脉阻塞：病例报告及文献综述
STRANGULATION-INDUCED CENTRAL RETINAL ARTERY OCCLUSION: CASE REPORT AND REVIEW OF THE LITERATURE.
作者信息
Greven Margaret A, Moshfeghi Darius M
机构信息
Byers Eye Institute, Horngren Family Vitreoretinal Center, Department of Ophthalmology, Stanford University School of Medicine, Palo Alto, California.
出版信息
Retin Cases Brief Rep. 2017;11(3):258-260. doi: 10.1097/ICB.0000000000000334.
PURPOSE
To describe a patient with central retinal artery occlusion following an episode of mechanical strangulation.
METHODS
A retrospective case report. An 83-year-old man presented with acute vision loss in his right eye after a strangling episode. Multimodal clinical imaging was performed.
RESULTS
Visual acuity in the affected right eye was no light perception. Examination revealed optic nerve edema and optic nerve pallor and also severe vascular attenuation and a cherry-red spot in the macula.
CONCLUSION
Mechanical disruption of carotid plaque can lead to occlusion of the central retinal artery, which may portend a dismal visual prognosis.
目的
描述一例机械性勒颈后发生中央视网膜动脉阻塞的患者。
方法
一项回顾性病例报告。一名83岁男性在经历勒颈事件后出现右眼急性视力丧失。进行了多模态临床成像检查。
结果
患侧右眼视力无光感。检查发现视神经水肿、视神经苍白，同时伴有严重的血管变细以及黄斑区樱桃红斑。
结论
颈动脉斑块的机械性破坏可导致中央视网膜动脉阻塞，这可能预示着视力预后不佳。
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