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[手术干预后眼部的动脉血管阻塞]

[Arterial vascular occlusions of the eye following surgical intervention].

作者信息

Richard G

出版信息

Klin Monbl Augenheilkd. 1983 Mar;182(3):203-5. doi: 10.1055/s-2008-1054745.

DOI:10.1055/s-2008-1054745
PMID:6855134
Abstract

In this paper the author reports on 6 patients who developed occlusion of a retinal artery following trauma or surgery. Three of these occlusions occurred in the central retinal artery after operations in the orbital area. Two of the operations were ear-nose-throat procedures with subsequent infection, causing compression of the optic nerve and a decrease in circulation. Two patients probably had genuine embolisms after either a carotid angiography or the removal of an aneurysm complex of the anterior communicating artery. An occlusion of the central retinal artery was also observed in one case after trauma (impact of a fist). All 6 patients experienced a large-scale decrease in visual acuity. When there is a risk of embolism or compression of the optic nerve, prophylactic measures such as a thrombosis prophylaxis or the prompt relief of pressure in the orbit should be considered.

摘要

在本文中,作者报告了6例在创伤或手术后发生视网膜动脉阻塞的患者。其中3例阻塞发生在眼眶区域手术后的视网膜中央动脉。其中2例手术是耳鼻喉手术,随后发生感染,导致视神经受压和血液循环减少。2例患者在颈动脉血管造影或前交通动脉动脉瘤复合体切除术后可能发生了真正的栓塞。1例患者在创伤(拳击伤)后也观察到视网膜中央动脉阻塞。所有6例患者均出现视力大幅下降。当存在栓塞或视神经受压风险时,应考虑采取预防性措施,如预防血栓形成或及时缓解眼眶压力。

相似文献

1
[Arterial vascular occlusions of the eye following surgical intervention].[手术干预后眼部的动脉血管阻塞]
Klin Monbl Augenheilkd. 1983 Mar;182(3):203-5. doi: 10.1055/s-2008-1054745.
2
[Arterial occlusive diseases of the eye. Diagnostic contribution of Doppler sonography].[眼部动脉闭塞性疾病。多普勒超声检查的诊断作用]
Klin Monbl Augenheilkd. 1985 Mar;186(3):161-71. doi: 10.1055/s-2008-1050897.
3
Central retinal artery occlusion with an irido-embolus following carotid endarterectomy.
J Am Optom Assoc. 1987 May;58(5):419-22.
4
[Ciliary and retinal occlusion following local retrobulbar anesthesia with orbital compression (2 cases)].[眼眶压迫法局部球后麻醉后睫状动脉和视网膜动脉阻塞(2例)]
Bull Soc Ophtalmol Fr. 1986 Jun-Jul;86(6-7):865-6, 868.
5
Implications of central retinal artery occlusion.视网膜中央动脉阻塞的影响
J Am Optom Assoc. 1979 Dec;50(12):1351-5.
6
Prevalent misconceptions about acute retinal vascular occlusive disorders.关于急性视网膜血管阻塞性疾病的普遍误解。
Prog Retin Eye Res. 2005 Jul;24(4):493-519. doi: 10.1016/j.preteyeres.2004.12.001.
7
[Doppler effect in isolated syndromes of central retinal artery occlusion].
Bull Soc Ophtalmol Fr. 1978 Dec;78(12):941-5.
8
[Factors determining late patency of aortobifemoral bypass graft].[决定主-双股动脉旁路移植术远期通畅率的因素]
Srp Arh Celok Lek. 1997 Jan-Feb;125(1-2):24-35.
9
Recent experiences on the ophthalmologic complications of oral contraceptives.
Ann Ophthalmol. 1976 Aug;8(8):925-34.
10
Anterior segment necrosis following treatment of central retinal artery occlusion: a clinicopathologic case report.视网膜中央动脉阻塞治疗后前段坏死:一例临床病理病例报告。
Ann Ophthalmol. 1978 Feb;10(2):199-204.

引用本文的文献

1
Retinal vascular occlusion following ocular contusion.眼挫伤后视网膜血管阻塞
Graefes Arch Clin Exp Ophthalmol. 2005 May;243(5):406-9. doi: 10.1007/s00417-004-1026-4. Epub 2004 Nov 17.