在使用可卡因后出现外部压缩性缺血性轨道病变.
Ethan Abizadeh1, Wenyu Deng1,2, Kevin Babapour Digaleh3
1Department of Ophthalmology, SUNY Downstate Medical Center, Brooklyn, NY, USA.
American journal of ophthalmology case reports
|November 10, 2025
概括
本案例报告强调了外部压缩性缺血性轨道病变 (ECIO) 或"周六夜视网膜病变",这是一种与可卡因使用有关的罕见疾病. 对于视力丧失和眼的患者来说,及时识别和管理至关重要.
科学领域:
- 眼科医生 眼科 眼科
- 毒理学 毒理学 毒理学
- 神经学 神经学
背景情况:
- 外部压缩性缺血性轨道病变 (ECIO),也被称为"周六夜视网膜病变",是一种罕见的疾病.
- 它的特点是视力丧失,眼睛和亡.
- 可卡因使用是已确定的,尽管不常见的ECIO原因之一.
研究的目的:
- 在使用可卡因后呈现一种罕见的ECIO病例.
- 描述这种疾病的独特表现,诊断挑战和管理.
- 强调在有相关症状和药物滥用史的患者中考虑ECIO的重要性.
主要方法:
- 一个48岁的女性滥用多种物质的案例报告.
- 临床表现:突然,无痛的视力丧失和有限的眼外运动.
- 诊断工作包括成像 (揭示眼外肌肉胀而没有鼻疾病) 和毒理学查 (确认可卡因使用).
主要成果:
- 根据临床表现,成像和毒理学证实了ECIO的诊断.
- 在完成类固醇治疗之前,患者违背了医生的建议离开.
- 随访显示眼和视力敏度的部分改善.
结论:
- ECIO是一个关键的诊断,应考虑在患有视力丧失,眼睛和亡的患者,特别是有滥用药物的病史的患者.
- 可卡因诱导的ECIO需要迅速识别和适当管理.
- 这一案例强调了药物滥用对眼部健康的多方面的影响.
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