Hackelbusch R
Klin Monbl Augenheilkd. 1984 Jul;185(1):50-2. doi: 10.1055/s-2008-1054569.
Fat embolism is well known in traumatic skull fractures, chest compression and long bone fractures. Inkeles and Walsh (1975) first described fat embolism of retinal vessels following acute pancreatitis. Fat embolism of ocular vessels in this disease is presumably due to enzymatic destruction of omental tissue. The patient described here fell ill with acute pancreatitis after years of alcohol abuse; he noticed a considerable deterioration in vision. This was a result of fat embolism of the retinal arteries. Multiple cotton wool spots around the optic nerve and in the macular area, combined with some intraretinal hemorrhages, were seen at ophthalmoscopic examination. The pathogenesis of fat embolism of choroidal and retinal vessels following acute pancreatitis is discussed in brief.
脂肪栓塞在创伤性颅骨骨折、胸部挤压伤和长骨骨折中很常见。英克尔斯和沃尔什（1975年）首次描述了急性胰腺炎后视网膜血管的脂肪栓塞。该疾病中眼部血管的脂肪栓塞可能是由于网膜组织的酶性破坏所致。此处描述的患者在多年酗酒之后患上了急性胰腺炎；他注意到视力明显下降。这是视网膜动脉脂肪栓塞的结果。眼底镜检查发现视神经周围和黄斑区有多个棉絮斑，并伴有一些视网膜内出血。本文简要讨论了急性胰腺炎后脉络膜和视网膜血管脂肪栓塞的发病机制。
