年龄相关性黄斑变性中的大量脉络膜出血：抗凝治疗的一种并发症。
Massive choroidal hemorrhage in age-related macular degeneration: a complication of anticoagulant therapy.
作者信息
Edwards P
机构信息
DVA Outpatient Clinic, Oakland, CA 94612, USA.
出版信息
J Am Optom Assoc. 1996 Apr;67(4):223-6.
BACKGROUND
Age-related macular degeneration (ARMD) is the leading cause of legal blindness in the elderly, causing profound loss of central vision.
METHODS
A 90-year-old patient with exudative age-related macular degeneration who had been placed on anticoagulant therapy for pulmonary emboli experienced a massive choroidal hemorrhage and retinal detachment. Angle closure glaucoma was precipitated by forward movement of the iris-lens diaphragm and vision was lost in the eye. The patient was subsequently removed from anticoagulant therapy, although he had potentially fatal bilateral pulmonary emboli, because of the patient's concern for the quality of his remaining life.
RESULTS
This case report is intended to alert optometrists to the ocular complications of anticoagulant therapy, particularly the risk of massive choroidal hemorrhage in anticoagulated patients with exudative ARMD.
CONCLUSIONS
An optometrist's responsibility to inform primary care providers of the potential ocular complications of anticoagulant therapy for patients with exudative ARMD is also described.
背景
年龄相关性黄斑变性（ARMD）是老年人法定失明的主要原因，会导致严重的中心视力丧失。
方法
一名90岁患有渗出性年龄相关性黄斑变性的患者因肺栓塞接受抗凝治疗，发生了大量脉络膜出血和视网膜脱离。虹膜 - 晶状体隔向前移位引发了闭角型青光眼，该眼视力丧失。尽管患者患有可能致命的双侧肺栓塞，但由于患者对剩余生活质量的担忧，随后停止了抗凝治疗。
结果
本病例报告旨在提醒验光师注意抗凝治疗的眼部并发症，特别是抗凝治疗的渗出性ARMD患者发生大量脉络膜出血的风险。
结论
还描述了验光师有责任告知初级保健提供者渗出性ARMD患者抗凝治疗可能出现的眼部并发症。
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