Clinical observation of acute retinal necrosis complicated with central retinal artery occlusion
Journal Title: Eye Science (Yanke Xuebao) - Year 2020, Vol 35, Issue 2
Abstract
[Objective:] To observe the clinical features of acute retinal necrosis (ANR) complicated with central retinal artery occlusion (CRAO). [Methods:] Six patients (8 eyes) diagnosed with ARN complicated with CRVO in our hospital from January 2015 to September 2019 were reviewed. The medical history disease progression, prognosis and the performance of fundus imaging were analyzed to summarize the clinical manifestations of these rare cases. [Results:] Color photography and ultra-wide-angle photography of the fundus showed mild to moderate opacity of the vitreous body, pale edema of the retina, white lines of posterior pole retinal arteries, occlusion of peripheral retinal vessels, massive bleeding with arterial course, and large patches of yellow retina. Fundus fluorescein detected different degrees of fluorescein filling delay, scattered light spots in the retina to block the fluorescence, small retinal arterial diameter, peripheral retinal vessel occlusion in all directions, and large areas of non-perfusion area. The fundus OCT showed that the posterior pole retinal edema was thickened, the inner retinal edema was severe, and the layered structure was not clear. Subepithelial fluid was seen in some areas. [Conclusion:] Although ARN complicated with CRAO is relatively rare, it can aggravate damage to the visual function of patients. Therefore, CRAO should be known as a serious complication of ARN. The risk of CRAO should be monitored and assessed during the diagnosis and treatment of ARN.
Authors and Affiliations
Jie MIN, Lizhu ZHANG, Yinyan MA, Juanjuan LI
Keywords
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- EP ID EP763397
- DOI 10.3978/j.issn.1000-4432.2020.05.02
- Views 14
- Downloads 0
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