Radius R L, Finkelstein D
Br J Ophthalmol. 1976 Jun;60(6):428-30. doi: 10.1136/bjo.60.6.428.
We report a case of central retinal artery occlusion in an 18-year-old black woman with sickle-trait haemoglobinopathy and acute glaucoma after hyphaema. The central retinal artery occlusion occurred immediately after treatment of the glaucoma with osmotic agents, raising the possibility that they played a precipitating role. We suggest that osmotic agents be used with extreme caution in sickle patients with glaucoma. The occlusion was treated by anterior chamber paracentesis with eventual return of good vision. The reversibility of retinal and optic nerve function after total ischaemia is discussed.
我们报告一例18岁患有镰状细胞性状血红蛋白病的黑人女性，在眼前房积血后发生急性青光眼，并出现视网膜中央动脉阻塞。在用渗透性药物治疗青光眼后立即发生了视网膜中央动脉阻塞，这增加了这些药物起促发作用的可能性。我们建议，对于患有青光眼的镰状细胞病患者，使用渗透性药物时应极其谨慎。通过前房穿刺术治疗阻塞，最终视力恢复良好。文中还讨论了完全缺血后视网膜和视神经功能的可逆性。
