Young L H, Appen R E
Arch Neurol. 1981 Jun;38(6):358-6. doi: 10.1001/archneur.1981.00510060060009.
Six patients experienced ischemic oculopathy, a condition in which there is ischemia in both the anterior and posterior segments of the eye caused by occlusive carotid artery disease. The abnormalities in the anterior segment include episcleral vascular congestion, anterior chamber flare and cells, a mid-dilated, sluggish, or unreactive pupil, rubeosis iridis, and abnormal intraocular pressure. The posterior segment abnormalities include ischemic insults to the retina or optic nerve, venous-stasis retinopathy, and low ophthalmodynamometry values. Ophthalmodynamometry is particularly helpful in recognizing the pathogenesis of this disorder. Superficial temporal artery-middle cerebral artery anastomosis surgery may have particular merit for patients with ischemic oculopathy.
6例患者发生缺血性眼病，这是一种由颈总动脉闭塞性疾病导致眼前后节均出现缺血的病症。眼前节异常包括巩膜表层血管充血、前房闪辉和细胞、瞳孔中度散大、迟缓或无反应、虹膜新生血管形成以及眼压异常。眼后节异常包括视网膜或视神经的缺血性损害、静脉淤滞性视网膜病变以及低眼压计测量值。眼压计测量对于认识该疾病的发病机制特别有帮助。颞浅动脉-大脑中动脉吻合术对于缺血性眼病患者可能具有特殊价值。
