颈动脉体瘤栓塞和切除术后医源性视网膜中央动脉阻塞

Iatrogenic central retinal artery occlusion after carotid body tumor embolization and excision.

作者信息

Rangel Carlos M, Jaramillo Sergio, Varón Clara L, Prada Angélica M

机构信息

Retina and Vitreous Department, Fundación Oftalmológica de Santander Clínica Carlos Ardila Lulle, Bucaramanga, Colombia.

Retina and Vitreous Department, Clínica Oftalmológica del Café, Manizales, Colombia.

出版信息

GMS Ophthalmol Cases. 2017 Mar 24;7:Doc09. doi: 10.3205/oc000060. eCollection 2017.

DOI:10.3205/oc000060

PMID:28401029

原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC5366802/

Abstract

To report a case of iatrogenic central retinal artery occlusion after embolization and surgical resection of carotid body paraganglioma. Case report One adult female patient presented with persistent unilateral visual loss after embolization with Embosphere and Contour microparticles of carotid body tumor. Fluorescein angiography revealed intraluminal microspheres in the central retinal artery ramifications. OCT revealed intraretinal spherical, hyporeflective particles with posterior shadowing. Central retinal artery occlusion should be assessed as a possible complication after surgical repair of head and neck paragangliomas.

摘要

报告一例经栓塞及手术切除颈动脉体副神经节瘤后发生医源性视网膜中央动脉阻塞的病例。病例报告一名成年女性患者在使用Embosphere和Contour微球栓塞颈动脉体瘤后出现持续性单眼视力丧失。荧光素血管造影显示视网膜中央动脉分支内有腔内微球。光学相干断层扫描显示视网膜内有球形、低反射颗粒并伴有后部阴影。在头颈部副神经节瘤手术修复后，应评估视网膜中央动脉阻塞作为一种可能的并发症。