中华眼科杂志
中華眼科雜誌
중화안과잡지
Chinese Journal of Ophthalmology
2008年
6期
521-524
,共4页
王涛%张惠蓉%鹿新荣%钱芳
王濤%張惠蓉%鹿新榮%錢芳
왕도%장혜용%록신영%전방
视网膜动脉%大动脉瘤%视力,低
視網膜動脈%大動脈瘤%視力,低
시망막동맥%대동맥류%시력,저
Retinal artery%Aneurysm%Vision,low
目的 观察视网膜大动脉瘤患者的临床特点并与其他眼底疾病相鉴别,以提高诊断的准确性.方法 回顾性系列病例研究.回顾性分析22例(22只眼)确诊为视网膜大动脉瘤患者的临床资料.患者均行荧光素眼底血管造影和吲哚青绿血管造影检查,部分结合相干光断层扫描、B超等检查.结果 22例患者中男性6例,女性16例;年龄54～82岁,平均70岁.均为单眼发病,22例中单个大动脉瘤19例,有2个大动脉瘤者3例;瘤体均位于颞侧动脉分支,其中颞上支16只眼,颞下支6只眼;动脉瘤伞部位于1～3级分支内;所有患者均有不同程度的视网膜前出血和(或)玻璃体积血;最佳矫正视力＜0.05者10例,0.05～0.2者6例,0.3～0.6者5例,≥0.7者1例.所有患者均有不同程度的视网膜动脉硬化,16例患者有高血压病史,5例合并糖尿病史.治疗后追踪11例患者,最佳矫正视力＜0.05者1例,0.05～0.2者4例,≥0.7者6例.结论 视网膜大动脉瘤多发生于老年人,特别是女性.常发牛在视网膜动脉第1～3分支,局部扩张如瘤样,并有视网膜出出血、水肿和渗出,同时多伴有视网膜动脉硬化.这些特点可与年龄相关性黄斑变性、Coats病及脉络膜新生血管等眼底病变相鉴别.(中华眼科杂志,2008,44:521-524)
目的 觀察視網膜大動脈瘤患者的臨床特點併與其他眼底疾病相鑒彆,以提高診斷的準確性.方法 迴顧性繫列病例研究.迴顧性分析22例(22隻眼)確診為視網膜大動脈瘤患者的臨床資料.患者均行熒光素眼底血管造影和吲哚青綠血管造影檢查,部分結閤相榦光斷層掃描、B超等檢查.結果 22例患者中男性6例,女性16例;年齡54～82歲,平均70歲.均為單眼髮病,22例中單箇大動脈瘤19例,有2箇大動脈瘤者3例;瘤體均位于顳側動脈分支,其中顳上支16隻眼,顳下支6隻眼;動脈瘤傘部位于1～3級分支內;所有患者均有不同程度的視網膜前齣血和(或)玻璃體積血;最佳矯正視力＜0.05者10例,0.05～0.2者6例,0.3～0.6者5例,≥0.7者1例.所有患者均有不同程度的視網膜動脈硬化,16例患者有高血壓病史,5例閤併糖尿病史.治療後追蹤11例患者,最佳矯正視力＜0.05者1例,0.05～0.2者4例,≥0.7者6例.結論 視網膜大動脈瘤多髮生于老年人,特彆是女性.常髮牛在視網膜動脈第1～3分支,跼部擴張如瘤樣,併有視網膜齣齣血、水腫和滲齣,同時多伴有視網膜動脈硬化.這些特點可與年齡相關性黃斑變性、Coats病及脈絡膜新生血管等眼底病變相鑒彆.(中華眼科雜誌,2008,44:521-524)
목적 관찰시망막대동맥류환자적림상특점병여기타안저질병상감별,이제고진단적준학성.방법 회고성계렬병례연구.회고성분석22례(22지안)학진위시망막대동맥류환자적림상자료.환자균행형광소안저혈관조영화신타청록혈관조영검사,부분결합상간광단층소묘、B초등검사.결과 22례환자중남성6례,녀성16례;년령54～82세,평균70세.균위단안발병,22례중단개대동맥류19례,유2개대동맥류자3례;류체균위우섭측동맥분지,기중섭상지16지안,섭하지6지안;동맥류산부위우1～3급분지내;소유환자균유불동정도적시망막전출혈화(혹)파리체적혈;최가교정시력＜0.05자10례,0.05～0.2자6례,0.3～0.6자5례,≥0.7자1례.소유환자균유불동정도적시망막동맥경화,16례환자유고혈압병사,5례합병당뇨병사.치료후추종11례환자,최가교정시력＜0.05자1례,0.05～0.2자4례,≥0.7자6례.결론 시망막대동맥류다발생우노년인,특별시녀성.상발우재시망막동맥제1～3분지,국부확장여류양,병유시망막출출혈、수종화삼출,동시다반유시망막동맥경화.저사특점가여년령상관성황반변성、Coats병급맥락막신생혈관등안저병변상감별.(중화안과잡지,2008,44:521-524)
Objective To summarize the clinical characteristics of retinal arterial macroaneurysm and to improve the diagnosis accuracy in order to differentiate it from other fundus diseases. Methods It was a retrospective case series. Results of fluorescein angiography or indocyane angiography, associated with ultrasound, OCT and several other examinations were analyzed in 22 patients (22 eyes) with retinal arterial macroaneurysm. Results There were 6 men and 16 women in the 22 patients. The age of all the patients was from 54 to 82 years, and the mean age was 70 years. In the 22 patients, the patient with a single macroaneurysm was 19, and with two macroaneurysms was 3. All 22 patients were affected unilaterally.Macroaneurysms were found only in the temporal artery branches ( 16 eyes in superior branch and 6 eyes in inferior branch). All macroaneurysms were located in the branches graded 1 to 3. All patients showed preretinal hemorrhage and/or vitreous hemorrhage. Sixteen patients suffered from hypertension and five patients had diabetes mellitus. The patient with best corrected visual acuity < 0.05 was 10,0.05 to 0.2 was 6,0.3 to 0.6 was 5 and ≥0.7 was 1. All patients showed retinal arteriosclerosis. After the treatment, 11 patients were pursued, and the patient with best corrected visual acuity < 0.05 was 1,0.05 to 0.2 was 4 and ≥0.7 was 1.Conclusions Clinical features of retinal arterial macroaneurysm include focal dilation of retinal artery with hemorrhages and exudates,associated with retinal arteriosclerosis. These clinical characteristics can be used to differentiate retinal arterial macroaneurysm from other fundus diseases.
