与视网膜中央静脉阻塞和睫状视网膜动脉阻塞相关的 Henle 纤维层出血：病例报告。
Henle fiber layer hemorrhage associated with combined central retinal vein occlusion and cilioretinal artery occlusion: a case report.
机构信息
Retina Service, Farabi Eye Hospital, Tehran University of Medical Sciences, Qazvin Square, South Kargar Street, Tehran, Iran.
出版信息
J Med Case Rep. 2023 Aug 20;17(1):355. doi: 10.1186/s13256-023-04100-y.
BACKGROUND
The purpose of this study is to describe a patient who experienced simultaneous central retinal vein and cilioretinal artery occlusions, as well as perifoveal hemorrhage in the Henle fiber.
CASE PRESENTATION
A 67-year-old Iranian woman presented with a 3-day history of reduced vision in her left eye. Venous tortuosity and retinal hemorrhage were observed in the retina, together with whitened regions around the fovea, consistent with the diagnosis of central retinal vein occlusion in conjunction with cilioretinal artery occlusion. In structural and en face optical coherence tomography, star-shaped hemorrhages were observed around the fovea, which looked hyperreflective in the Henle fiber layer.
CONCLUSIONS
We present a case of central retinal vein occlusion exacerbated by cilioretinal occlusion and hemorrhage in the Henle fiber layer. The hemorrhage is most likely the result of increased intraluminal pressure in the deep capillary plexus.
背景
本研究旨在描述一例同时发生的中央视网膜静脉和小动脉阻塞，以及 Henle 纤维层周围性中心凹出血的患者。
病例介绍
一名 67 岁的伊朗女性因左眼视力下降 3 天就诊。眼底检查显示视网膜静脉迂曲和视网膜出血，黄斑周围出现发白区域，符合中央视网膜静脉阻塞合并小动脉阻塞的诊断。结构和共焦光学相干断层扫描显示黄斑周围有星形出血，Henle 纤维层呈高反射性。
结论
我们报告了一例由小动脉阻塞和 Henle 纤维层出血加重的中央视网膜静脉阻塞病例。出血很可能是深层毛细血管丛内压升高所致。
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