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同型胱氨酸尿症患者双侧视网膜中央动脉阻塞:超声检查的作用

Bilateral occlusion of the central retinal artery in a homocystinuric patient: the role of echography.

作者信息

Paoli D, Pierro L

机构信息

Department of Opthalmology, Hospital of Monfalcone, Gorizia, Italy.

出版信息

Ophthalmologica. 1998;212 Suppl 1:95-8. doi: 10.1159/000055440.

DOI:10.1159/000055440
PMID:9730766
Abstract

The authors describe a case presented by a homocystinuric 26-year-old male patient with bilateral occlusion of the central retinal artery. Echography carried out the same day of the occlusion and the following days identified and monitored a mass located in the orbit of the OD. Characteristics and dimension of the mass were confirmed and measured by a CT scan and NMR examination. The orbital mass of the OD appeared to be a swelling of the central retinal artery with echo-refracting opacities, which, in light of recent studies, can be interpreted as multiple arterial thrombi, composed predominantly most likely by platelets. Therapeutic possibilities are discussed.

摘要

作者描述了一名26岁同型胱氨酸尿症男性患者出现双侧视网膜中央动脉阻塞的病例。在阻塞当天及随后几天进行的超声检查发现并监测到位于右眼眼眶的一个肿块。通过CT扫描和核磁共振检查确认并测量了肿块的特征和大小。右眼眼眶肿块似乎是视网膜中央动脉的肿胀,伴有回声折射性混浊,根据最近的研究,这可被解释为多个动脉血栓,很可能主要由血小板组成。文中讨论了治疗的可能性。

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