最近审阅: 28 十月 2020
最近更新: 11 四月 2018

小结

定义

病史和体格检查

关键诊断因素

  • 存在的危险因素
  • 突发性、无痛性视力严重下降
  • 视盘水肿
  • 视网膜出血
  • 静脉迂曲扩张
  • 侧支循环形成

其他诊断因素

  • 年龄> 65 岁
  • 新生血管形成
  • 玻璃体出血
  • 黄斑水肿
  • 飞蚊症
  • 眼痛,红眼
  • 视力
  • 相对性传入性瞳孔反应障碍
  • 眼压升高

危险因素

  • 动脉粥样硬化
  • 系统性高血压
  • 糖尿病
  • 高甘油三酯血症
  • 吸烟史
  • 心血管疾病
  • 青光眼
  • 20岁体重指数增加
  • 血清α-2丙种球蛋白升高
  • 眼轴短
  • 活化蛋白C抵抗
  • 凝血因子 V Leiden
  • 血液高凝状态
  • 蛋白 S 缺陷
  • 抗凝血酶 III 缺陷
  • 高同型半胱氨酸血症
  • 血管炎
  • 年龄> 65 岁

诊断性检查

首要检查

  • 荧光素眼底血管造影确诊
更多 首要检查

需考虑的检查

  • 荧光素眼底血管造影评估并发症
  • 光学相干断层扫描
  • 视网膜电流图
更多 需考虑的检查

治疗流程

撰稿人

Aziz A. Khanifar

Vitreoretinal Surgeon

The Retina Group of Washington

Silver Spring

MD

利益声明

AAK declares that he has no competing interests.

Dr Aziz A. Khanifar would like to gratefully acknowledge Dr Sharon Fekrat, a previous contributor to this monograph. SF declares that she has no competing interests.

同行评议者展开全部内容

Assistant Professor of Clinical Ophthalmology

Bascom Palmer Eye Institute

University of Miami Miller School of Medicine

Naples

FL

利益声明

SGS has received research funding from Alcon, Genentech, and Novartis; holds equity in Pfizer; and is co-holder of a patent pending entitled "Molecular targets for modulating intraocular pressure and differentiation of steroid responders from non-responders".

Professor of Ophthalmology

Bascom Palmer Eye Institute

University of Miami Miller School of Medicine

Naples

FL

利益声明

TM declares that he has no competing interests.

Specialist Registrar

Moorfields Eye Hospital

Visiting Lecturer

City University

London

UK

利益声明

AS has received research funding from Allergan.

内容使用需遵循免责声明