眼缺血综合征  

Ocular ischemic syndrome

作　　者：黄厚斌[1,2] Huang Houbin(Senior Department of Ophthalmology,PLA General Hospital,Beijing 100853,China;Department of Ophthalmology,Hainan Hospital of PLA General Hospital,Sanya Hainan 572013,China)

机构地区：[1]解放军总医院眼科医学部,北京100853 [2]解放军总医院海南医院眼科,海南三亚572013

出　　处：《眼科》2024年第4期249-256,共8页Ophthalmology in China

基　　金：军队后勤科研项目保健专项课题(23BJZ37);海南省卫生健康行业科研项目(22A200351);军委后勤保障部保健专项科研课题面上项目(19BJZ39)。

摘　　要：颈内外动脉侧支循环发育正常或良好的个体不容易发生眼缺血综合征,但该病早中期易被误诊漏诊。眼缺血综合征的核心是眼动脉长期慢性进行性的低灌注。缺血性眼痛、一过性黑矇、光诱导性黑矇是其先兆期很有意义的症状,正常眼压下的自发性视网膜动脉搏动或者轻压眼球就可诱发视网膜动脉搏动具有特征性的诊断意义,中周部常可见深层视网膜出血、以及广泛密集分布的微管壁瘤,血管造影显示脉络膜视网膜循环延迟。本文从对眼缺血综合征的传统定义的剖析开始,详细解析其定义及发病机制、早期症状、眼底表现,最后阐述目前对眼缺血综合征治疗的认识和进展。以提高眼科医生对早期眼缺血综合征的诊治水平,尽量避免和减少眼缺血综合征发展到晚期新生血管性青光眼时期。Ocular ischemic syndrome(OIS)will not occur in individuals who develop well the laterals between internal-internal and internal-external carotids.However its early-stage cases might be misdiagnosed or missed diagnosed.The core of OIS is chronic progressive hypo-perfusion of ophthalmic artery.Ischemic eye pain,amaurosis fugax,light-induced amaurosis is significant symptoms in early stage of OIS.Spontaneous or light digital palpation induced retinal artery pulsation is characteristics.Mid-periphery retina sees intraretinal hemorrhages,wild-spread microaneurysms.Angiography shows delayed choroid and retinal circulation.This article begins with analysis of traditional definition of OIS,moves to its pathogenesis,early symptoms,fundus manifestations,and concludes with recent knowing of treatments,so as to improve the recognition of oculist on OIS,trying to avoid or reduce the occurrence of neovascular glaucoma.

关 键 词：眼缺血综合征 缺血性眼痛 光诱导性黑矇 视网膜动脉搏动 

分 类 号：R77[医药卫生—眼科]