透明质酸鼻部填充致单眼视网膜中央动脉阻塞1例并文献复习

doi:10.6040/j.issn.1673-3770.0.2023.021

摘要/Abstract

摘要： 目的通过1例透明质酸鼻部填充致单眼视网膜中央动脉阻塞(central retinal artery occlusion,CRAO)患者病例资料探讨其发病原因及治疗手段。方法患者鼻部注射透明质酸后右眼视力突然下降伴颞上方视物遮挡,当地医院治疗后来我院进行相关检查,给予药物及体外反搏治疗。结果治疗3 d后右眼矫正视力为0.15,眼底检查显示视盘水肿减轻,视盘周围水肿面积减小。结论 CRAO是由视网膜中央动脉阻塞和对应视网膜区域血液供应不足引起的疾病,体外反搏具有无创治疗的优势,避免了有创治疗不良反应的发生,同时便于操作和推广,是CRAO的有效辅助治疗手段。

关键词: 视网膜中央动脉阻塞, 透明质酸, 体外反搏, 急性缺血性卒中

Abstract: Objective Through the case data of a patient with central retinal artery occlusion(CRAO)caused by hyaluronic acid filling in the nose, the study discusses the pathogenesis and treatment methods. Methods A female patient experienced a sudden loss of visual acuity with superior temporal visual obscuration in the right eye after receiving a nasal hyaluronic acid injection. After treatment at a local hospital, the patient came to our hospital for initial examination, and was treated with medication and external counterpulsation therapy. Results After 3 days of treatment, corrected visual acuity was 0.15 in the right eye; fundus examination showed enhanced optic disc edema and a decrease in the area of peripapillary white spots. Conclusion CRAO is a disease caused by central retinal artery occlusion and corresponding retinal nutrient supply deficiency. External counterpulsation has the distinction of being a non-invasive treatment(therefore avoiding the side effects of invasive treatment)and it is easy to administer and promote, and is an effective adjunctive treatment for CRAO.

Key words: Central retinal artery occlusion, Hyaluronic acid, Extracorporeal counterpulsation, Acute ischemic stroke

中图分类号:

R765.21

李淑婷,赵慧,司明威,崔文轩,杨梦瑶,王红. 透明质酸鼻部填充致单眼视网膜中央动脉阻塞1例并文献复习[J]. 山东大学耳鼻喉眼学报, 2024, 38(1): 66-71.

LI Shuting, ZHAO Hui, SI Mingwei, CUI Wenxuan, YANG Mengyao, WANG Hong. Central retinal artery occlusion caused by facial filling with hyaluronic acid: a case report and literature review[J]. Journal of Otolaryngology and Ophthalmology of Shandong University, 2024, 38(1): 66-71.

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