Lee Kyung Mi, Kim Eui Jong, Heo Sung Hyuk, Jin Kyung Hyun
Department of Radiology, Kyung Hee University College of Medicine, Kyung Hee University Hospital, Korea.
Department of Radiology, Kyung Hee University College of Medicine, Kyung Hee University Hospital, Korea
Interv Neuroradiol. 2016 Oct;22(5):540-3. doi: 10.1177/1591019916653938. Epub 2016 Jun 24.
This report describes a very rare ocular complication of carotid intervention. A 74-year-old patient presented with left-sided weakness and was diagnosed with right cerebral border-zone infarctions caused by severe stenosis of the right proximal internal carotid artery. Staged carotid intervention (balloon angioplasty followed by stenting) was successfully performed. However, neovascular glaucoma developed following carotid angioplasty and stenting. We concluded that although carotid angioplasty and stenting improves vision in patients with ischemic oculopathy, it can rarely induce paradoxical visual deterioration such as development or aggravation of neovascular glaucoma.
本报告描述了一种非常罕见的颈动脉介入治疗后的眼部并发症。一名74岁患者出现左侧肢体无力，被诊断为右侧颈内动脉近端严重狭窄导致的右侧大脑边缘带梗死。分期进行的颈动脉介入治疗（球囊血管成形术继以支架置入术）成功实施。然而，颈动脉血管成形术和支架置入术后发生了新生血管性青光眼。我们得出结论，尽管颈动脉血管成形术和支架置入术可改善缺血性眼病患者的视力，但它很少能诱发矛盾性视力恶化，如新生血管性青光眼的发生或加重。
