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