眼球缺血综合征临床特点观察  

The clinical feature observation of ocular ischemic syndrome

作　　者：张斌[1] 马景学[1] 张彤迪[1] 李涛[2] 李素芬[2] 杨爱琴[2] 

机构地区：[1]河北医科大学第二医院眼科,050000 [2]河北医科大学第二医院功能科,050000

出　　处：《中国实用眼科杂志》2006年第4期426-428,共3页Chinese Journal of Practical Ophthalmology

摘　　要：目的探讨眼球缺血综合征(OcularischemicsyndromeOIS)患者眼部表现、眼底荧光血管造影临床特点及血流动力学改变。方法OIS患者眼部检查、眼底荧光素血管造影检查,彩色多谱勒超声检查对比研究OIS患者组和正常对照组颈总动脉、颈内动脉、眼动脉、视网膜中央动脉收缩期血流峰速(PSV)值。结果①共观察OIS患者22例22眼。21例(95%)患者以不同程度的视力下降为主要表现。6眼(27%)出现虹膜新生血管。眼底改变:16眼(73%)视网膜静脉扩张,20眼(90%)有中周部视网膜点状出血。2眼(9%)见到视网膜动脉搏动。②眼底荧光素血管造影臂-视网膜循环时间、视网膜动-静脉循环时间延长,15例(68%)视网膜血管着染,有2只眼发现视网膜动-静脉交通支形成。③OIS患者患侧眼动脉、视网膜中央动脉PSV降低。结论①眼球缺血综合征临床表现复杂,FFA及彩色多谱勒超声检查是诊断该病的重要手段。Purpose The purpose of the study was to observe the clinical manifestation of patients with Ocular ischemic syndrome（OIS）and to study the feature of fluorescein fundus angiography and changes of the ocular hemodynamic. Methods We reviewed the ocular clinical manifestations in patients. The features of fluorescein fundus angiography were discussed.The patients of study group and normal control group underwented Color Doppler imaging for the measurement of the peak systolic velocity（PSV）in the common carotid artery and the internal carotid artery and ophthalmic artery and central retinal artery. Results ① Among the 22 patients in the study group ,the decrease in visual acuity in affected eyes was found in 21（95%） patients. Neovascularization of iris was encountered in 6（27%）eyes. The retinal veins of 16（73%） eyes were dilated,and the dot or blot hemorrhages in the mid-peripheral retina were observed in 20（90%） eyes. The retinal arterial pulsations were noted in 2 eyes. ②A delay in arm-to-retinal circulation time and in retinal arteriovenous transit time was the most commonly noted fluorescein angiographic abnormality. Staining of retinal vessels was observed in 15（68%）eyesflourescein angiographic sign.Acquired retinal arteriovenous communications were noted in 2 eyes.③The PSV in ipsilateral ophthalmic artery and central retinal artery were reduced as compared with PSV of other side. Conclusion ① The clinical feature of Ocular ischemic syndrome was complex.FFA and Color Doppler imaging are important examinations for diagnosis of OIS.

关 键 词：眼球缺血综合征 诊断 眼底荧光血管造影 超声多谱勒 颈动脉狭窄 眼动脉 视网膜中央动脉 

分 类 号：R973.2[医药卫生—药品] R587.2[医药卫生—药学]