干燥综合征患者双侧颈总动脉闭塞首发眼部症状为急性视力丧失：1 例报告。
Acute visual loss as the first ocular symptom in a Sjögren's syndrome patient with bilateral common carotid artery occlusion: a case report.
机构信息
Department of Ophthalmology, Show Chwan Memorial Hospital, Changhua, Taiwan.
Department of Ophthalmology, Chang Gung Memorial Hospital, Linkou, Taiwan.
出版信息
BMC Ophthalmol. 2021 Nov 27;21(1):409. doi: 10.1186/s12886-021-02177-x.
BACKGROUND
Sjögren's syndrome may be a risk factor for carotid artery stenosis. Bilateral common carotid artery occlusion (BCCAO) in a patient with Sjögren's syndrome was not reported before. In this report, we describe a female with Sjögren's syndrome who had acute visual loss due to ocular ischemic syndrome (OIS) with BCCAO.
CASE PRESENTATION
A 50-year-old female with Sjögren's syndrome visited our clinic with acute visual loss in the left eye. The best corrected visual acuity (BCVA) was 2/100 in the left eye, and the intraocular pressure (IOP) was normal in both eyes. Ocular ischemic change was observed during the ophthalmic examination. Aortography and computed tomography angiography (CTA) showed nearly total occlusion of the bilateral CCA. Thus, OIS with BCCAO was diagnosed. The vision in the left eye improved to 30/100 after carotid artery stenting for the left common carotid artery.
CONCLUSIONS
BCCAO may be present in patients with Sjögren's syndrome. Large vessel abnormalities should be considered when acute visual loss is found in a patient with Sjögren's syndrome.
背景
干燥综合征可能是颈动脉狭窄的一个危险因素。以前没有报道过干燥综合征患者双侧颈总动脉闭塞（BCCAO）。在本报告中，我们描述了一例干燥综合征女性患者，因双眼颈总动脉闭塞发生眼缺血综合征（OIS）而导致急性视力丧失。
病例介绍
一名 50 岁女性干燥综合征患者因左眼急性视力丧失就诊于我院。左眼最佳矫正视力（BCVA）为 2/100，双眼眼压正常。眼部检查发现眼缺血改变。主动脉造影和计算机断层血管造影（CTA）显示双侧颈总动脉几乎完全闭塞。因此，诊断为双眼颈总动脉闭塞伴眼缺血综合征。左颈总动脉支架置入术后，左眼视力提高至 30/100。
结论
干燥综合征患者可能存在 BCCAO。当干燥综合征患者出现急性视力丧失时，应考虑大血管异常。
Zotero 插件