国际眼科杂志
國際眼科雜誌
국제안과잡지
INTERNATIONAL JOURNAL OF OPHTHALMOLOGY
2012年
6期
1025-1027
,共3页
眼缺血综合征%鼻咽癌%放射治疗%颈动脉
眼缺血綜閤徵%鼻嚥癌%放射治療%頸動脈
안결혈종합정%비인암%방사치료%경동맥
ocular ischemic syndrome%nasopharyngeal carcinoma%radiotherapy%carotid artery
目的 报道1例因接受放射治疗后出现双侧颈总动脉完全闭塞和双眼缺血综合征(ocular ischemic syndrome,OIS)的患者.方法 病例报告.1例57岁男性患者主诉左眼一过性黑矇伴有眼部和眶周疼痛6mo,诊断为双侧OIS,依次给予双侧全视网膜光凝(panretinal photocoagulation,PRP)、白内障手术、颈动脉内膜剥脱术和Ahmed青光眼阀植入术.结果 经过PRP和白内障超声乳化手术治疗,双侧眼部病情稳定.但患者行双侧颈动脉内膜剥脱术后出现眼压升高,视力降至指数.结论 鼻咽癌放射治疗后出现的双侧颈总动脉完全闭塞和双眼OIS的治疗比较困难,预后不佳.
目的 報道1例因接受放射治療後齣現雙側頸總動脈完全閉塞和雙眼缺血綜閤徵(ocular ischemic syndrome,OIS)的患者.方法 病例報告.1例57歲男性患者主訴左眼一過性黑矇伴有眼部和眶週疼痛6mo,診斷為雙側OIS,依次給予雙側全視網膜光凝(panretinal photocoagulation,PRP)、白內障手術、頸動脈內膜剝脫術和Ahmed青光眼閥植入術.結果 經過PRP和白內障超聲乳化手術治療,雙側眼部病情穩定.但患者行雙側頸動脈內膜剝脫術後齣現眼壓升高,視力降至指數.結論 鼻嚥癌放射治療後齣現的雙側頸總動脈完全閉塞和雙眼OIS的治療比較睏難,預後不佳.
목적 보도1례인접수방사치료후출현쌍측경총동맥완전폐새화쌍안결혈종합정(ocular ischemic syndrome,OIS)적환자.방법 병례보고.1례57세남성환자주소좌안일과성흑몽반유안부화광주동통6mo,진단위쌍측OIS,의차급여쌍측전시망막광응(panretinal photocoagulation,PRP)、백내장수술、경동맥내막박탈술화Ahmed청광안벌식입술.결과 경과PRP화백내장초성유화수술치료,쌍측안부병정은정.단환자행쌍측경동맥내막박탈술후출현안압승고,시력강지지수.결론 비인암방사치료후출현적쌍측경총동맥완전폐새화쌍안OIS적치료비교곤난,예후불가.
AIM: To report a case of bilateral ocular ischemic syndrome(OIS) with bilateral common carotid artery complete occlusion in a patient after long-term radiotherapy for nasopharyngeal carcinoma.METHODS: Interventional case report. A 57-year-old man presented with a 6-month history of amaurosis fugax in his left eye and ocular and periorbital pain, diagnosed with bilateral OIS. Bilateral panretinal photocoagulation (PRP),cataract surgery, carotid endarterectomy and an Ahmed valve implant were performed consecutively.RESULTS: After PRP and uneventful cataract phacoe- mulsification administrated, the conditions of bilateral eyes were stabilized. However after bilateral carotid endarterectomy, the intraocular pressure(IOP) was increased,accompanied by the visual acuity reduced to counting fingers at six inches.CONCLUSION: The management of bilateral OIS with bilateral common carotid arteries complete occlusion after long-term radiotherapy for nasopharyngeal carcinoma is frustrating and the prognosis for vision is poor.
