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视网膜血管闭塞性疾病与耳聋。

Occlusive retinal vascular disease and deafness.

作者信息

Delaney W V, Torrisi P F

出版信息

Am J Ophthalmol. 1976 Aug;82(2):232-6. doi: 10.1016/0002-9394(76)90424-4.

DOI:10.1016/0002-9394(76)90424-4
PMID:949074
Abstract

An 8-year-old white girl with a history of vertigo, nausea, and vomiting developed a progressive hearing loss, bilateral retinal arteriolar narrowing in each eye, vasoproliferation, and subsequent intravitreal hemorrhage. An attempt at peripheral retinal ablation with cryotherapy in the left eye resulted in retinal detachment. Spontaneous retinal detachment occurred in the right eye and was successfully repaired. Repeated intermittent hemorrhages occurred despite intraocular diathermy. Three years after onset, visual acuity was R.E.: 6/21 (20/66) and L.E.: light perception. She remains totally deaf. A 20-year-old white woman developed severe bilateral sensorineural hearing loss with poorly functioning labyrinths, followed by midperipheral retinal arteriolar occlusions and vasoproliferation on the optic nerve head. Progressive retinal neovascularization was followed by rubeosis iridis and repeated episodes of intravitreal bleeding. Six years after onset, visula acuity was R.E.: hand motions, and L.E.: 6/3 (20/100). She remains totally deaf. Both patients were of normal gestation, development, and mentality, without evidence of other systemic disease. The cause of this disease was not found.

摘要

一名8岁白人女孩,有眩晕、恶心和呕吐病史,出现进行性听力丧失、双眼视网膜小动脉狭窄、血管增生,随后发生玻璃体积血。左眼尝试用冷冻疗法进行周边视网膜消融导致视网膜脱离。右眼发生自发性视网膜脱离并成功修复。尽管进行了眼内透热疗法,仍反复出现间歇性出血。发病三年后,右眼视力为6/21(20/66),左眼视力为光感。她仍然完全失聪。一名20岁白人女性出现严重的双侧感音神经性听力丧失,内耳功能不佳,随后出现视网膜中周部小动脉阻塞和视乳头血管增生。进行性视网膜新生血管形成后出现虹膜红变和反复的玻璃体积血。发病六年后,右眼视力为手动,左眼视力为6/3(20/100)。她仍然完全失聪。两名患者妊娠、发育和智力均正常,无其他系统性疾病证据。本病病因未明。

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Occlusive retinal vascular disease and deafness.视网膜血管闭塞性疾病与耳聋。
Am J Ophthalmol. 1976 Aug;82(2):232-6. doi: 10.1016/0002-9394(76)90424-4.
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Retinal vasculitis.视网膜血管炎
Postgrad Med J. 1988 Jul;64(753):488-96. doi: 10.1136/pgmj.64.753.488.
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Encephalopathy, deafness and blindness in young women: a distinct retinocochleocerebral arteriolopathy?年轻女性的脑病、耳聋和失明:一种独特的视网膜耳蜗脑小动脉病变?
J Neurol Neurosurg Psychiatry. 1989 Jan;52(1):43-6. doi: 10.1136/jnnp.52.1.43.