外伤致视网膜分支动脉阻塞合并外伤性视神经病变报告1例

发布时间：2018-07-28 07:22

【摘要】：背景和目的:视网膜分支动脉阻塞以及外伤性视神经病变均属于眼科急症。视网膜分支动脉阻塞临床上较少见,常发生于60岁以上的中老年患者,发病因素多与动脉粥样硬化、血管栓塞、动脉痉挛及炎性反应等相关。外伤性视神经病变多由头面部外伤引起的直接性或间接性损伤导致。临床工作中以及国内外文献有关外伤导致视网膜分支动脉阻塞合并外伤性视神经病变的病例报道非常罕见。本文分享一例由外伤导致儿童视网膜分支动脉阻塞合并外伤性视神经病变的特殊病例,目的是探讨这种复合眼外伤的发病机制、诊断标准、临床特征和治疗方法,为今后此类疾病的诊治提供有价值的参考意见。方法:报告1例视网膜分支动脉阻塞合并外伤性视神经病变的病例。回顾性分析该患者的临床资料,并查阅相关文献综合分析及讨论。结论:外伤可作为视网膜分支动脉阻塞的独立危险因素,根据患者的症状、体征、眼底荧光造影等不难确诊。视网膜分支动脉阻塞合并外伤性视神经病变临床上罕见,对视力威胁大。尽早明确诊断并积极治疗,对挽救患者视力和改善视功能具有重要意义。
[Abstract]:Background and objective: retinal branch artery occlusion and traumatic optic neuropathy are ophthalmic emergencies. Retinal branch artery occlusion is rare in clinic and often occurs in the middle and old patients over 60 years old. The pathogenesis factors are mostly related to atherosclerosis, vascular embolism, arterial spasm and inflammatory reaction. Traumatic optic neuropathy is caused by direct or indirect injury caused by head and face trauma. It is rare to report cases of traumatic retinal artery occlusion associated with traumatic optic neuropathy in clinical work and literature at home and abroad. A special case of traumatic retinal branch artery occlusion associated with traumatic optic neuropathy was reported in this paper. The aim of this study was to investigate the pathogenesis, diagnostic criteria, clinical features and treatment of this compound ocular trauma. To provide valuable reference for the diagnosis and treatment of such diseases in the future. Methods: a case of retinal branch artery occlusion with traumatic optic neuropathy was reported. The clinical data of the patient were analyzed retrospectively, and the relevant literature were reviewed and discussed. Conclusion: trauma can be regarded as an independent risk factor of retinal branch artery occlusion. Retinal branch artery occlusion with traumatic optic neuropathy is rare clinically and is a great threat to visual acuity. Early diagnosis and active treatment are of great significance in saving visual acuity and improving visual function.
【学位授予单位】：南昌大学
【学位级别】：硕士
【学位授予年份】：2017
【分类号】：R774

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