Late Hyperbaric Oxygen Treatment of Cilioretinal Artery Occlusion With Nonischemic Central Retinal Vein Occlusion Secondary to High Altitude
Late Hyperbaric Oxygen Treatment of Cilioretinal Artery Occlusion With Nonischemic Central Retinal Vein Occlusion Secondary to High Altitude
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DOI：
10.1089/ham.2013.1086
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发表时间：
2014-04-01
影响因子：
2.1
通讯作者：
Ekinci, Metin
中科院分区：
文献类型：
--
作者：
Gokce, Gokcen;Metin, Suleyman;Ekinci, Metin
Gokce、Gokcen、Suleyman Metin、Uzeyir Erdem、Gungor Sobaci、Ali Hakan Durukan、Halil Huseyin Cagatay和Metin Ekinci。晚期高压氧治疗继发于高海拔的睫状视网膜动脉阻塞伴非缺血性视网膜中央静脉阻塞。High Alt Med Biol. 15：84-88，2014.目的：报告一例在前往高海拔地区并成功使用晚期高压氧（HBO）治疗后发生的睫状视网膜动脉阻塞（CRAO）伴视网膜中央静脉阻塞（CRVO）的病例。病例报告：一位先前健康的48岁低地女性，在检查前2周因右眼视力突然模糊而被收住我科。患者有1个月的高海拔暴露史，在她主诉发作前一天结束。最佳矫正视力（BCVA）右眼（RE）为10/20，左眼为10/10。RE的眼底检查显示沿睫状视网膜动脉分布的视网膜沿着变白，保留中心凹，火焰状突起和罗斯斑，伴有轻微扩张和扭曲的视网膜静脉。视野分析显示中心盲暗点。患者接受2.5大气压绝对压力下每日2小时HBO治疗11天。RE的BCVA上升至20/20的水平，使用HBO治疗后暗点立即消失。结论：CRVO相关的CRAO应被视为高原暴露的罕见并发症，高压氧似乎是高原相关的晚期CRVO和CRAO并发症的治疗选择。
Gokce, Gokcen, Suleyman Metin, Uzeyir Erdem, Gungor Sobaci, Ali Hakan Durukan, Halil Huseyin Cagatay, and Metin Ekinci. Late hyperbaric oxygen treatment of cilioretinal artery occlusion with nonischemic central retinal vein occlusion secondary to high altitude. High Alt Med Biol. 15:84-88, 2014.Aim: To report a case of cilioretinal artery occlusion (CRAO) with central retinal vein occlusion (CRVO) after a journey to high altitude region and the use of late period hyperbaric oxygen (HBO) therapy successfully. Case Report: A previously healthy 48-year-old lowlander woman was admitted to our department for sudden blurred vision in her right eye started at 2 weeks prior to examination. The patient had a history of 1-month exposure to high altitude that finished a day before the onset of her complaints. The best corrected visual acuity (BCVA) was 10/20 in the right eye (RE) and 10/10 in the left eye. Fundus examination of the RE revealed whitening of the retina along the distribution of cilioretinal artery, sparing fovea, flame-shaped hemorrhages, and roth spots with minimally dilated and tortuous retinal veins. Visual field analysis revealed centrocecal scotoma. The patient was treated by a daily session of 2h of HBO at 2.5 atmosphere absolute for 11 days. BCVA rised to a level of 20/20 for the RE and the scotomas were disappeared immediately after using of the HBO treatment. Conclusion: CRVO related CRAO should be regarded as a rare complication of exposure to high altitude and HBO seems to be the treatment of choice of high altitude related co-occurence of CRVO and CRAO in the late period.