睫状视网膜动脉阻塞主要类型和特点  

The Major Types and Characteristics of Cilioretinal Artery Occlusion

作　　者：徐永宁[1] 陈友慈[1] 张惠成[1] 李棣[1] 

机构地区：[1]浙江省杭州市第一人民医院眼科,310006

出　　处：《医学研究杂志》2006年第7期38-40,共3页Journal of Medical Research

摘　　要：目的探讨睫状视网膜动脉阻塞(cilioretinalarteryocclusion)患者的主要类型和特点。方法收集睫状视网膜动脉阻塞患者10例10只眼,利用眼底检查和荧光素眼底血管造影(fundusfluoresceinangiography,FFA)对其临床表现进行分析。结果10例患者表现为单独睫状视网膜动脉阻塞(Ⅰ型)4例,视网膜中央静脉阻塞合并睫状视网膜动脉阻塞(Ⅱ型)4例,视网膜中央动脉阻塞合并睫状视网膜动脉阻塞(Ⅲ型)2例;FFA示睫状视网膜动脉荧光素充盈迟缓,其完全充盈时间延长;视力预后Ⅰ型较好,Ⅱ型相对较差,Ⅲ型最差。结论睫状视网膜动脉阻塞的视力预后因其临床表现的多种类型而各异,FFA能用于确定其类型以及评估视力预后。Objective To explore the major types and characteristics of the patients with cilioretinal artery occlusion. Methods Ten patients（ 10 eyes）with cilioretinal artery occlusion were gathered. Fundus examination and fluorescein angiography were used for the analysis of the clinical manifestations in ten patients. Results Of the ten patients,the isolated occlusion of a cilioretinal artery（which we defined as type Ⅰ ）was revealed in four patients,the central retinal vein association with cilioretinal artery occlusion（type Ⅱ ）was revealed in four patients, central retinal artery association with cilioretinal artery occlusion（ typeⅢ ）was revealed in two patients. The images of fundus fluorescein angiography showed fluorescein filled of cilioretinal artery slow, and completely filled of cilioretinal artery late. The visual prognosis is satisfied in type Ⅰ ,but worse in type Ⅱ and the worst in type Ⅲ. Conclusions The visual prognosis of cilioretinal artery occlusion is different due to the various clinical manifestations revealed. Fundus fluorescein angiography could be used to identify the type and evaluate the visual prognosis of cilioretinal artery occlusion.

关 键 词：视网膜动脉闭塞 荧光素眼底血管造影术 视力 

分 类 号：R774.1[医药卫生—眼科] R541.1[医药卫生—临床医学]