Susický P, Mach R
Cas Lek Cesk. 1989 Jun 28;128(26):823-5.
The authors describe the acute development of an occlusion of the main retinal vein in six patients enlisted in a chronic dialyzation programme. It is a very serious ophthalmological complication which caused substantial diminution of visual acuity, and where haemorrhagic glaucoma developed (4 patients), loss of the eye. In investigations of these patients enlisted in chronic dialyzation programmes pathological findings on the ocular fundus are decisive. Patients with hypertonic neuroretinopathy on the ocular fundus run the greatest risk of occlusion of retinal vessels, in particular in the first year after enlistment in the programme. Impaired blood clotting in these patients certainly also plays a part in the development of the occlusion.
作者描述了6名参与慢性透析项目的患者发生视网膜中央静脉阻塞的急性过程。这是一种非常严重的眼科并发症，可导致视力大幅下降，其中4例患者还发生了出血性青光眼并失明。对于这些参与慢性透析项目的患者，眼底的病理检查结果具有决定性意义。眼底有高血压性神经视网膜病变的患者发生视网膜血管阻塞的风险最高，尤其是在加入该项目后的第一年。这些患者凝血功能受损肯定也在阻塞的发生中起了作用。
