Alnaim Abdullah F, Alsakran Wael A, Alotaibi Hammam A
Department of Ophthalmology, King Khaled Eye Specialist Hospital, Riyadh, Saudi Arabia.
Department of Ophthalmology, Prince Sultan Military Medical City, Riyadh, Saudi Arabia.
Case Rep Ophthalmol. 2024 Sep 12;15(1):683-688. doi: 10.1159/000540771. eCollection 2024 Jan-Dec.
Antiphospholipid syndrome is one of the most common causes of acquired hypercoagulable conditions which is correlated with ocular conditions not least of which is retinal ischemia due to arterial or venous occlusive insults.
We describe a case of unilateral retinal ischemia in the setting of combined central retinal artery and vein occlusion with associated proliferation of retinal pigment epithelium. The patient was worked-up for the etiology of her presentation which was found to be antiphospholipid syndrome.
Although pigment epithelial proliferation occurs commonly after retinal ischemia, no study has reported complete multimodal imaging of such a pathology or proposed the possible mechanisms explaining such an association.
抗磷脂综合征是获得性高凝状态最常见的病因之一,与眼部疾病相关,其中尤以动脉或静脉闭塞性损伤导致的视网膜缺血最为突出。
我们描述了一例在视网膜中央动脉和静脉联合阻塞及视网膜色素上皮细胞增生情况下发生的单侧视网膜缺血病例。对该患者进行了病因检查,发现病因是抗磷脂综合征。
尽管色素上皮细胞增生在视网膜缺血后很常见,但尚无研究报道过此类病变的完整多模态成像,也未提出解释这种关联的可能机制。