Department of Ophthalmology and Department of Public Health Sciences, Penn State College of Medicine, Hershey, PA, USA.
Department of Ophthalmology and Department of Neuroscience, Johns Hopkins School of Medicine, Baltimore, MD, USA.
Lancet. 2020 Dec 12;396(10266):1927-1940. doi: 10.1016/S0140-6736(20)31559-2.
Acute retinal vascular occlusions are common causes of visual impairment. Although both retinal artery occlusions and retinal vein occlusions are associated with increased age and cardiovascular risk factors, their pathophysiology, systemic implications, and management differ substantially. Acute management of retinal artery occlusions involves a multidisciplinary approach including neurologists with stroke expertise, whereas treatment of retinal vein occlusions is provided by ophthalmologists. Optimisation of systemic risk factors by patients' primary care providers is an important component of the management of these two disorders.
急性视网膜血管阻塞是视力损害的常见原因。尽管视网膜动脉阻塞和视网膜静脉阻塞都与年龄增长和心血管危险因素有关，但它们的病理生理学、系统影响和治疗方法有很大的不同。急性视网膜动脉阻塞的管理需要多学科的方法，包括具有中风专业知识的神经科医生，而视网膜静脉阻塞的治疗则由眼科医生提供。患者的初级保健提供者优化系统危险因素是这两种疾病管理的重要组成部分。
