CAJ | 학술논문

目的:报道因颈内动脉严重狭窄致眼动脉缺血1例.方法:病历报道.结果:患者因左眼视力逐渐下降3a余,近2mo晨起视物模糊加剧,下半侧视物不见为重就诊,追问病史,有短暂黑矇发作病史,经颅多普勒超声检查,示双侧颈内动脉颅内段局限重度狭窄,左眼动脉流速低.行颈内动脉内膜剥除术,术后自觉症状改善.结论:青光眼视野的缺失除眼压的升高外,应注意眼动脉的缺血.
목적:보도인경내동맥엄중협착치안동맥결혈1례.방법:병력보도.결과:환자인좌안시력축점하강3a여,근2mo신기시물모호가극,하반측시물불견위중취진,추문병사,유단잠흑몽발작병사,경로다보륵초성검사,시쌍측경내동맥로내단국한중도협착,좌안동맥류속저.행경내동맥내막박제술,술후자각증상개선.결론:청광안시야적결실제안압적승고외,응주의안동맥적결혈.
AIM:To report a case of a chronic glaucoma patient whose reduced eyesight is related to ocular ischemia.METHODS:A case report.RESULTS:A 71 year-old man presented with a decreased left eye vision for over 3 years.During the last two months,he had deteriorated blurred vision when he woke up in the morning.The loss of his lower-half peripheral vision was especially serious.The patient suffered from an episode of transient amaurosis fugax three months ago.According to transcranial Doppler ultrasound scan and cerebral computerized tomographic angiography,the patient was found that he had severe stenosis of the bilateral intracranial internal carotid artery and decreased blood flow velocity within the left ophthalmic artery.His symptoms alleviated after an internal carotid artery endarterectomy.CONCLUSION:When vision loss glaucoma cases are presented,more attention should be paid to the presence of ischemia within the ophthalmic artery except glaucoma.