- 期刊
- OpenAccess
Cilioretinal Artery Occlusion Combined with Non-Ischemic Central Retinal Vein Occlusion in a Young Man with Hyperhomocysteinemia
視網膜分支動脈阻塞合併非缺血性視網膜中心靜脈阻塞發生於高同胱胺酸血症之年輕男性
摘要
視網膜動脈阻塞合併視網膜靜脈阻塞很少見，特別是在年輕人，血液中同胱胺酸的值已經被認為是視網膜血管疾病的危險因子。我們報告一個病例，為視網膜分支動脈阻塞合併非缺血性視網膜中心靜脈阻塞發生於高同胱胺酸血症之年輕男性。這位病患35歲，全身檢查都是正常的，除了高同胱胺酸血症，他右眼的視力一開始為0.4，很快就恢復到1.2，經過葉酸和vitamin B12的治療，血液中同胱胺酸的值降到正常範圍內，而且經過27個月的追蹤，沒有再發生血管阻塞的情形。
關鍵字
無資料並列摘要
Retinal artery occlusion combined with retinal vein occlusion is rare, especially in young persons. Plasma homocysteine has been identified as a risk factor for retinal vascular diseases. We report a case of cilioretinal artery occlusion combined with non-ischemic central retinal vein occlusion in a young man with hyperhomocysteinemia. This patient was 35 years old, and the systemic evaluation was normal except hyperhomocysteinemia. His visual acuity of right eye decrease to 0.4 initially and improved to 1.2 soon. After treatment with folic acid and vitamin B12, the homocysteine level reduced to normal range. And no more episode of retinal vascular occlusion occurred during the 27-month follow-up.
延伸閱讀
- 吳東隆、程維璋、朱炤廉、周秉義（1996）。內頸動脈－後交通動脈瘤合併瞳孔正常之動眼神經麻痺－病例報告。中華民國眼科醫學會雜誌，35(2)，231-234。https://doi.org/10.30048/ACTASOS.199606.0018
- 蕭淑卿、黃峻峰、錢方鵬、王馨儀（2004）。急性視網膜動脈阻塞症再續發血管攣縮性心肌梗塞。中華民國眼科醫學會雜誌，43(1)，68-72。https://doi.org/10.30048/ACTASOS.200403.0010
- Lin, T. C., Li, A. F., Liu, Y. C., & Lee, S. M. (2011). 類固醇治療急性視網膜壞死誘發另一眼中心性漿液性脈絡膜視網膜症－病例報告. 中華民國眼科醫學會雜誌, 50(1), 93-98. https://doi.org/10.30048/ACTASOS.201104.0012
- 黃純德、高玲玉（1986）。前部缺血性視神經病變同側覆發之一例報告。中華民國眼科醫學會雜誌，25(1)，371-375。https://doi.org/10.30048/ACTASOS.198605.0068
- Chen, Y. C., & Chen, S. N. (2017). 視網膜分支動脈阻塞合併旁中心急性黃斑部病變於年輕族群病人之案例報告. The Changhua Journal of Medicine, 15(3), 149-153. https://doi.org/10.6501/CJM.1503.005