剧烈吐后视力下降的急性发作:一个病例报告
Hailong He1, Ziyi Wang1, Haiying Zhou1
1Beijing Tongren Eye Center, Beijing Tongren Hospital, Capital Medical University, Beijing, China.
European journal of ophthalmology
|October 16, 2023
概括
剧烈的吐可能导致视网膜中枢静脉封闭 (CRVO),这是一个罕见的疾病. 这份病例报告详细介绍了一名经历严重吐后突然视力丧失的患者,强调了像Valsalva机动这样的潜在机制.
科学领域:
- 眼科医生 眼科 眼科
- 血管医学 血管医学
背景情况:
- 中央视网膜静脉封闭 (CRVO) 是一种严重的血管疾病,影响眼睛.
- 与强烈吐相关的CRVO病例在医学文献中非常罕见.
研究的目的:
- 报告一种罕见的非缺血性CRVO病例,该病例是在强烈吐后发生的.
- 探索潜在的病理生理机制,将吐与CRVO联系起来.
主要方法:
- 一个55岁的男性在强烈吐后出现左眼急性视力丧失的案例研究.
- 评估包括最佳校正视敏度 (BCVA) 评估和多式成像.
- 确认了非缺血性CRVO视网膜病变的诊断.
主要成果:
- 患者在受影响眼睛的BCVA显著降低至20/2000.
- 在事件发生后,在没有干预的情况下观察到自发的视力恢复到20/40.
- 在随访期间,眼部检查正常化.
结论:
- 剧烈的吐,可能是通过瓦萨尔瓦机动和脱水,可能会导致CRVO.
- 这些机制可以影响眼睛的血液流动并促进血栓形成.
- 这一案例强调了考虑吐作为CRVO的潜在触发因素的重要性.
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