Wilkinson W S, Morgan C M, Baruh E, Gitter K A
Vitreoretinal Services, WK Kellogg Eye Center, University of Michigan Medical Center, Ann Arbor.
Br J Ophthalmol. 1989 Jan;73(1):32-4. doi: 10.1136/bjo.73.1.32.
We report a case of visual loss following intranasal injection of triamcinolone acetonide and phenylephrine hydrochloride in a 22-year-old female with chronic sinusitis. Clinical examination and fluorescein angiography revealed vascular occlusions which involved multiple small branches of both the choroidal and retinal circulations. The mechanism of such a complication probably involves inadvertent intra-arterial injection into the anterior or the posterior ethmoidal artery, with retrograde flow into the opthalmic arterial system. Precautions can be taken to avoid such complications.
我们报告了一例22岁患有慢性鼻窦炎的女性在鼻内注射曲安奈德和盐酸去氧肾上腺素后出现视力丧失的病例。临床检查和荧光素血管造影显示血管闭塞，累及脉络膜和视网膜循环的多个小分支。这种并发症的机制可能涉及无意中将药物动脉内注射到筛前或筛后动脉，药物逆向流入眼动脉系统。可以采取预防措施以避免此类并发症。
