Bridwell Rachel E, Wray Jesse, Oliver Joshua, Cibrario Amber, Myers Melissa
Emergency Medicine, Brooke Army Medical Center, Fort Sam Houston, USA.
Cureus. 2020 Apr 2;12(4):e7518. doi: 10.7759/cureus.7518.
Central retinal artery occlusion represents a vision-threatening entity in those presenting with monocular painless vision loss, especially in the elderly and those with cardiovascular comorbidities. While confirmation of this diagnosis requires consultation with an ophthalmologist, prompt recognition is the crucial action of the emergency physician to help reverse retinal ischemia and save vision. Here we describe the case of a central retinal artery occlusion identified on point-of-care ocular ultrasound and confirmed by fluorescein angiography.
视网膜中央动脉阻塞在那些出现单眼无痛性视力丧失的患者中是一种威胁视力的疾病,尤其是在老年人以及患有心血管合并症的患者中。虽然确诊这一诊断需要咨询眼科医生,但迅速识别是急诊医生的关键行动,以帮助逆转视网膜缺血并挽救视力。在此,我们描述一例通过床旁眼部超声发现并经荧光素血管造影证实的视网膜中央动脉阻塞病例。