查詢結果分析
相關文獻
- 眼部缺血症候群之臨床表現
- Rhinosino-Orbital Mucormycosis Causing Cavernous Sinus Thrombosis and Internal Carotid Artery Occlusion: Radiological Findings in a Patient with Treatment Failure
- 由糖尿病患者眼底篩檢進一步發現內頸動脈阻塞
- Bilateral Common Carotid Artery Occlusion: Report of Case
- Ocular Ischemic Syndrome
- 遲發性致命的頭部外傷--急性內頸動脈阻塞
- 總頸動脈阻塞
- 頸動脈阻塞性疾病
- 內頸動脈阻塞與顱內-顱外血管繞道手術
- 總頸動脈阻塞
頁籤選單縮合
題 名 | 眼部缺血症候群之臨床表現=Clinical Presentation of Ocular Ischemic Syndrome |
---|---|
作 者 | 蔡毓斌; 黃峻峰; 陳韻如; 陳柏宏; | 書刊名 | 中華民國眼科醫學會雜誌 |
卷 期 | 40:2 2001.06[民90.06] |
頁 次 | 頁176-183 |
分類號 | 416.74 |
關鍵詞 | 眼部缺血症候群; 頸動脈阻塞; Ocular ischemic syndrome; Carotid artery occusion; Neovascular iridis; |
語 文 | 中文(Chinese) |
中文摘要 | 目的:眼部缺血症候群(OIS)是一肇因於同側頸動脈嚴重阻塞而 產生的眼部疾患。它但表現出與其他眼部疾病相似之臨床症狀,而造成我們在鑑別診斷與治 療上的困擾。本文就臨床表現、鑑別診斷、治療方法及其他影響因子提出報告。方法:本文 收集了近一年間 (1998.5 ∼ 1999.5) 由本科診斷出 OIS 的 3 個案例。除詳細記錄患者的 內科及眼科病史外,每位患者均接受詳細眼部檢查,另外還安排了眼底螢光血管攝影檢查及 彩色都卜勒超音波掃瞄 (Color duplex)。患者並會診至腦神經科接受進一步之治療。 結果 :三個案例平均年齡為 65 歲,2 位男性,1 位女性。過去病史有糖尿病、高血壓及心臟疾 患。眼底檢查發現有視網膜出血,動脈及靜脈均有變化。FAG 顯示明顯的脈絡膜及網膜血管 灌注遲緩。晚期顯現網膜動脈殘留顯影。 安排 Color duplex 檢查發現有 2 位患者之單側 內頸動脈完全阻塞,另一位患者約 90 %硬化阻塞,且眼動脈均有逆向的血流灌注。有兩位 患者接受全網膜雷射光凝固治療,一位接受頸動脈血管內脈切除手術;三位患者都出現了虹 膜新生血管,且其患側眼視力最終都是失明。結論:眼部缺血症候群的視力預後非常不好。 我們應注意在腦血管疾患尚未發作前可能會先有眼部症狀的表現;若能早期確定診斷及治療 ,將可防治危及生命的嚴重併發症發生。 |
英文摘要 | Purpose:To investigate the clinical features of ocular ischemic syndrome and the factors influencing its development. Methods:Three cases of ocular ischemic syndrome (OIS) were diagnosed during May 1998 to May 1999. The medical and ocular histories of patients were recorded. All 3 cases underwent a complete ophthalmic examination. Besides, color duplex ultrasonography was arranged to evaluate the degree of stenosis of both internal carotid artery and ophthalmic artery. Results:Men age of three patients with OIS (2 male and 1 female) was 65 years old. Associated systemic diseases included DM, hypertension and heart disease. Color duplex imaging revealed unilateral complete occlusion of internal carotid artery in 2 cases and 90% stenosis in 1 case. Fluorecein angiography revealed choroidal and retinal filling delayed. Two cases received panretinal laser photocoagulation and the carotid endarterectomy was underwent in one case. Neovascularization of iris was observed in all 3 cases, and final visual acuity of the lesion eyes was lost completely. Conclusion:Ocular ischemic syndrome has a poor visual outcome. However, ocular ischemic syndrome may be the presenting sign of serious cerebrovascular disease. We must pay more attention to it. |
本系統中英文摘要資訊取自各篇刊載內容。