巨大的双边光盘德鲁森呈现为中央视网膜静脉和状视网膜动脉阻塞
Amirreza Naderi1, Richard Spaide
1From the Vitreous Retina Macula Consultants of New York, New York.
Retinal cases & brief reports
|February 10, 2025
概括
极大的光盘干会导致结合的视网膜动脉和静脉封闭,即使没有先前的症状. 多式成像对于检测这些埋藏的德鲁森和预防视力损失至关重要.
科学领域:
- 眼科医生 眼科 眼科
- 神经眼科神经眼科
- 血管眼科 血管眼科
背景情况:
- 光盘干通常是在前层视神经头部的小,状沉积物.
- 它们通常无症状,但可能与视野缺陷有关.
研究的目的:
- 要呈现一种结合状视网膜动脉和视网膜中枢静脉封闭的病例.
- 为了突出与异常大,无症状的光学磁盘干的关联.
主要方法:
- 一名突然视力丧失的患者接受了全面的眼科检查.
- 使用多模式成像,包括光学连贯性断层扫描.
主要成果:
- 一名45岁的男子在右眼中出现了状视网膜动脉和视网膜中枢静脉封闭的结合.
- 光学连贯性断层扫描显示,在两只眼睛中都有巨大的,深深嵌入的光学光盘.
- 血液学工作是不起眼的.
结论:
- 异常大而深埋的光盘干会导致显著的血管事件,如视网膜动脉和静脉封闭.
- 在例行评估中,这些大型德鲁森可能会被遗漏,这强调了对多式联络成像的需求.
- 视神经的储备容量可能会掩盖损伤,直到发生血管损害.
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