正确判读眼缺血综合征预警信号,提高诊断水平

doi:10.6040/j.issn.1673-3770.1.2020.047

山东大学耳鼻喉眼学报 ›› 2020, Vol. 34 ›› Issue (4): 1-4.doi: 10.6040/j.issn.1673-3770.1.2020.047

• 眼缺血综合征多学科精准诊疗述评 • 下一篇

正确判读眼缺血综合征预警信号,提高诊断水平

黄映湘,王艳玲

黄映湘, 王艳玲首都医科大学附属北京友谊医院眼科, 北京 100050

收稿日期:2020-05-22 出版日期:2020-07-20 发布日期:2020-08-28
基金资助:
国家自然科学基金资助(81870686);首都卫生发展科研专项资助(首发2018-1-2021)

Correct interpretation of the predictors of ocular ischemic syndrome to improve diagnostic performance HUANG Yingxiang, WANG Yanling Department of Ophthalmology, Beijing Friendship Hospital, Capital Medical University, Beijing 100050, China Abstract:

Ocular ischemic syndrome(OIS)is a severe ophthalmic disease caused by ocular hypoperfusion, which occurs due to stenosis or occlusion of the common or internal carotid arteries. The clinical presentations and signs of OIS are complex, incidental, and different. OIS is easily misdiagnosed or remains undiagnosed because of its asymptomatic onset and complicated ocular manifestations. Therefore, it is crucial to trace the etiology of OIS. Presently, different imaging modalities can evaluate the carotid artery blood supply, collateral circulation, and brain perfusion. Thus, appropriate modalities must be selected for OIS diagnosis based on their advantages and disadvantages. Furthermore, the auxiliary examination results should be accurately and promptly considered and interpreted when establishing a diagnosis of OIS. Thus, the management of OIS requires cooperation with ophthalmologists, cardiologists, and neurologists.

Key words: Ocular ischemic syndrome;
Carotid artery stenosis;
Carotid artery occlusion;
angiography眼缺血综合征(ocular ischemic syndrome, OIS)是由颈动脉狭窄或闭塞引起的一系列眼前部或眼后部缺血性疾病, 临床中以表现为低灌注性视网膜病变最常见。本病常与缺血性脑病伴随出现, 目前已发展成为一类涉及眼科、神经科和血管外科的交叉学科疾病^［1］。文献报道^［2］, OIS患者的5年死亡率高达40%, 大多数死因以继发性心脑血管疾病为主。广大眼科医师近年来已经对OIS进行了高度关注, 对OIS的认知逐步提高。由于OIS的表现多样且隐匿的临床特点, 我们需要正确判读OIS预警信号, 加强多学科合作, 提高诊治水平, 才能更准确地发现问题解决问题。

Received:2020-05-22 Online:2020-07-20 Published:2020-08-28

摘要/Abstract

摘要： 眼缺血综合征(OIS)是由颈动脉狭窄或闭塞引起的一系列眼前部及/或眼后部缺血性疾病,早期临床表现隐匿,详细地问诊有助于疾病的早期诊断;因眼部供血血管堵塞位置和程度不同,患者的体征也千差万别,追根溯源十分重要;不同血管成像模式的检查方法可用来评估颈动脉供血、侧支循环和脑灌注,需要了解不同技术的特性,有针对性地选择检查手段,正确判读OIS预警信号,多学科合作精准诊断,挽救OIS患者视力。

关键词: 眼缺血综合征, 颈动脉狭窄, 颈动脉闭塞, 血管成像

Abstract: Ocular ischemic syndrome(OIS)is a severe ophthalmic disease caused by ocular hypoperfusion, which occurs due to stenosis or occlusion of the common or internal carotid arteries. The clinical presentations and signs of OIS are complex, incidental, and different. OIS is easily misdiagnosed or remains undiagnosed because of its asymptomatic onset and complicated ocular manifestations. Therefore, it is crucial to trace the etiology of OIS. Presently, different imaging modalities can evaluate the carotid artery blood supply, collateral circulation, and brain perfusion. Thus, appropriate modalities must be selected for OIS diagnosis based on their advantages and disadvantages. Furthermore, the auxiliary examination results should be accurately and promptly considered and interpreted when establishing a diagnosis of OIS. Thus, the management of OIS requires cooperation with ophthalmologists, cardiologists, and neurologists.

Key words: Ocular ischemic syndrome, Carotid artery stenosis, Carotid artery occlusion, angiography

中图分类号:

R771.3

黄映湘, 王艳玲. 正确判读眼缺血综合征预警信号,提高诊断水平[J]. 山东大学耳鼻喉眼学报, 2020, 34(4): 1-4.

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正确判读眼缺血综合征预警信号,提高诊断水平

Correct interpretation of the predictors of ocular ischemic syndrome to improve diagnostic performance HUANG Yingxiang, WANG Yanling Department of Ophthalmology, Beijing Friendship Hospital, Capital Medical University, Beijing 100050, China Abstract:

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