Stoner-Duncan Ben, Morris Stephen C
University of Washington School of Medicine, Department of Emergency Medicine, Seattle, Washington.
Clin Pract Cases Emerg Med. 2019 Jan 4;3(1):13-15. doi: 10.5811/cpcem.2018.11.39406. eCollection 2019 Feb.
A 69-year-old woman with a history of untreated hypertension presented with acute-onset monocular vision loss. Initial workup was delayed due to lack of immediate specialty consultation and dilated funduscopic exam. Point-of-care ultrasound in the emergency department identified a small hyperechoic structure within the distal area of the central retinal artery; in conjunction with specialty ophthalmologic evaluation in a tertiary care center, the diagnosis of central retinal artery occlusion was made. The patient was admitted to the neurology service for stroke risk stratification and was discharged in stable condition with re-initiation of her antihypertensive medication regimen.
一名69岁有未治疗高血压病史的女性出现急性单眼视力丧失。由于缺乏即时专科会诊和散瞳眼底检查，初始检查延迟。急诊科的床旁超声在视网膜中央动脉远端区域发现一个小的高回声结构；结合三级医疗中心的专科眼科评估，诊断为视网膜中央动脉阻塞。患者因中风风险分层入住神经内科，出院时病情稳定，重新开始服用抗高血压药物治疗方案。
