年轻人视网膜动脉阻塞13例临床分析  

Clinical analysis of 13 youth patients with retinal arterial obstruction

作　　者：龙心光[1] 王映芬[2] 江海鹰[2] 

机构地区：[1]中国广东佛山市中医院眼科,528000 [2]中国广东医学院附属医院眼科,510120

出　　处：《国际眼科杂志》2003年第2期124-125,共2页International Eye Science

摘　　要：目的 了解40岁以下视网膜动脉阻塞的病因、临床特点、治疗及预后。方法 回顾性分析13例15眼40岁以下视网膜动脉阻塞患者的眼底表现、眼底荧光血管造影、心电图及超声心动图、血液学检查、病史及预后。结果 13例中,男11例,女2例,2例患者双眼发病。中央动脉阻塞13眼,分支动脉阻塞2眼。38％的患者(5例)有心血管疾病、其他病因有血管炎(2例)、大量饮酒(1例)、吸烟(2例)、外伤(1例)等。经治疗后,67％的患眼视力有所提高。结论 年轻人视网膜动脉阻塞是一种多因素引起的疾病,心瓣膜等心血管疾病是引起本病的主要相关病因,不全阻塞是其临床特点,积极治疗预后相对较好。Aim To study retinal arterial obstruction in population below 40 years old in terms of its causes, clinical features and prognosis. Methods A retrospective study was made of 13 cases (15 eyes), younger than 49 years, of retinal arterial obstruction, including fundus conditions, fluorescence fundus angiography, ECG, ulfrasonic cardiogram, blood test, disease history as well as prognosis. Results Among the 13 cases, there were 11 males and 2 females, 2 cases with both eyes involved, 13 eyes with central arterial obstruction, and 2 eyes with branch arterial obstruction. Cardiovascular diseases were detected in 5 cases (38%), vasculitis in 2 cases, alcoholics in 1 case, smoking in 2 cases and trauma in 1 case. At the end of treatment, vision improved in 67%. Conclusion There are many causative factors for retinal arterial obstruction, with cardiovascular diseases such as valvupathy, as the major one. It is featured by incomplete obstruction but the prognosis is generally favorable.

关 键 词：年轻人 视网膜动脉阻塞 临床分析 临床特点 预后 病因 

分 类 号：R774.1[医药卫生—眼科]