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基于光学相干断层扫描血管造影术对双侧视网膜中央动脉阻塞的评估:一例报告

Evaluation of bilateral central retinal artery occlusions with optical coherence tomography-based microangiography: a case report.

作者信息

Lee Aaron Y, Zhang Qinqin, Baughman Douglas M, Mudumbai Raghu, Wang Ruikang K, Lee Cecilia S

机构信息

Department of Ophthalmology, University of Washington, Seattle, WA, USA.

Department of Bioengineering, University of Washington, Seattle, WA, USA.

出版信息

J Med Case Rep. 2016 Nov 1;10(1):307. doi: 10.1186/s13256-016-1095-0.

Abstract

BACKGROUND

We report a case of bilateral central retinal artery occlusion and the evaluation of retinal vasculature and capillaries by using optical coherence tomography angiography.

CASE PRESENTATION

A 75-year-old white man presented with central retinal artery occlusion in one eye and underwent a carotid angioplasty. Upon discontinuing anticoagulant, he had a subsequent central retinal artery occlusion in the other eye. Optical coherence tomography angiography images were obtained to compare the retinal microvasculature in both eyes.

CONCLUSIONS

Atrophy of the involved retina continues for several weeks after central retinal artery occlusion but the loss of retinal capillaries is immediate and stable over time. The presence of cilioretinal arteries that perfuse the central macula can prevent profound vision loss.

摘要

背景

我们报告一例双侧视网膜中央动脉阻塞病例,并通过光学相干断层扫描血管造影术对视网膜血管系统和毛细血管进行评估。

病例介绍

一名75岁白人男性,一只眼睛出现视网膜中央动脉阻塞并接受了颈动脉血管成形术。停用抗凝剂后,他的另一只眼睛随后也出现了视网膜中央动脉阻塞。获取光学相干断层扫描血管造影图像以比较双眼的视网膜微血管系统。

结论

视网膜中央动脉阻塞后,受累视网膜的萎缩会持续数周,但视网膜毛细血管的丧失是即刻发生的,且随时间推移保持稳定。灌注黄斑中心的睫状视网膜动脉的存在可防止严重视力丧失。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b724/5090894/03a4e206f19b/13256_2016_1095_Fig1_HTML.jpg

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