视网膜撕脱伴视神经撕脱。

Evulsion of the retina associated with optic nerve evulsion.

作者信息

Williams D F, Williams G A, Abrams G W, Jesmanowicz A, Hyde J S

出版信息

Am J Ophthalmol. 1987 Jul 15;104(1):5-9. doi: 10.1016/0002-9394(87)90285-6.

Abstract

We examined two patients with optic nerve evulsion as well as nasal peripapillary retinal and retinal pigment epithelial evulsion after ocular trauma. Fluorescein angiography demonstrated an intact peripapillary choriocapillaris, loss of peripapillary retina and retinal pigment epithelium, and complete disruption of retinal perfusion. We have postulated a mechanism for traumatic peripapillary retinal evulsion involving severe anterior displacement and abduction of the globe that may explain how the disruptive force was transmitted to the nasal retinal nerve fiber layer. We have provided a clinical correlation with magnetic resonance imaging of the optic nerve and globe of a normal individual.

摘要

我们检查了两名因眼外伤导致视神经撕脱以及鼻侧视乳头周围视网膜和视网膜色素上皮撕脱的患者。荧光素血管造影显示视乳头周围脉络膜毛细血管完整，视乳头周围视网膜和视网膜色素上皮缺失，以及视网膜灌注完全中断。我们推测了一种外伤性视乳头周围视网膜撕脱的机制，涉及眼球的严重向前移位和外展，这可能解释了破坏力量是如何传递到鼻侧视网膜神经纤维层的。我们还提供了与一名正常个体的视神经和眼球磁共振成像的临床相关性。