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一名感染新型冠状病毒肺炎患者的视网膜中央动脉阻塞及相似病例回顾

Central retinal artery occlusion in a patient who contracted COVID-19 and review of similar cases.

作者信息

Ucar Fikret, Cetinkaya Servet

机构信息

Ophthalmology, Private Konyagoz Hospital, Konya, Turkey

Ophthalmology, Private Konyagoz Hospital, Konya, Turkey.

出版信息

BMJ Case Rep. 2021 Jul 27;14(7):e244181. doi: 10.1136/bcr-2021-244181.

Abstract

A 54-year-old male patient applied to our clinic with a sudden and painless loss of vision in his right eye. He was suffering from COVID-19. His best-corrected visual acuity of the right eye was finger counting from 30 cm. The fundus examination revealed the presence of a 'cherry-red spot' appearance in the right eye. In optical coherence tomography imaging, hyper-reflectivity was observed in the inner retinal layers as well as increased retinal thickness in the right eye. In fundus fluorescein angiography, delayed arterial filling and prolonged arteriovenous transit time were observed in the right eye. The patient was diagnosed with central retinal artery occlusion after the COVID-19 infection. In this study, we report this case and its management.

摘要

一名54岁男性患者因右眼突然无痛性视力丧失前来我院就诊。他患有新型冠状病毒肺炎(COVID-19)。其右眼最佳矫正视力为距30厘米处指测。眼底检查发现右眼有“樱桃红斑”外观。在光学相干断层扫描成像中,右眼视网膜内层观察到高反射性以及视网膜厚度增加。在眼底荧光血管造影中,右眼观察到动脉充盈延迟和动静脉传输时间延长。该患者在感染新型冠状病毒肺炎后被诊断为视网膜中央动脉阻塞。在本研究中,我们报告了该病例及其治疗情况。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0a66/8317104/76320c08b157/bcr-2021-244181f01.jpg

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