Bretzke G, Bretzke K
Z Gesamte Inn Med. 1987 Jul 1;42(13):369-70.
It is reported on 2 cases of pancreatitic retinopathy in acute pancreatitis. In the first place of the clinical symptoms there are acutely beginning bilateral vision disturbances 2 to 3 days after the onset of the disease which exist for a long time. Causally an obstruction of the precapillary and capillary parts of the vascular system of the retina, but also of the choriocapillary system by fat particles and corpuscular blood elements is discussed. With certainty still other factors play a part, for example preinjury of the vascular parts mentioned by circulating pancreatic enzymes and toxins. In patients with acute pancreatitis vision disturbances should be taken into consideration, even when these changes are very rare.
报告了2例急性胰腺炎伴发的胰腺性视网膜病变。临床症状首先表现为在疾病发作后2至3天急性起病的双侧视力障碍，且持续时间较长。病因方面讨论了视网膜血管系统的毛细血管前和毛细血管部分以及脉络膜毛细血管系统被脂肪颗粒和血细胞成分阻塞的情况。当然还有其他因素起作用，例如循环中的胰酶和毒素对上述血管部分的预先损伤。对于急性胰腺炎患者，即使这些视力障碍变化非常罕见，也应予以考虑。
