原名「台灣學術線上」
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題名:疑頸部拔罐相關之中心視網膜動脈阻塞症     (10點)
CENTRAL RETINALARTERY OCCLUSION FOLLOWING NECK CUPPING
著者:劉又綾(Yu-Ling Liu) ;黃峻峰(Jiunn-Feng Hwang) ;羅綸謙(Lun-Chien Lo) ;陳珊霓(San-Ni Chen)
出版地區:台灣
出版城市:台北市
學科:醫學綜合
關鍵字:Central retinal artery occlusion (CRAO) ; Neck cupping ; Fibrin-platelet emboli
刊名:中華民國眼科醫學會雜誌
卷期:48卷2期(2009.6)
頁碼:223-227
語言:繁體中文
摘要: 中文摘要PDF ; 英文摘要PDF

目的:報告一急性視力喪失,診斷為中心視網膜動脈阻塞症而視 力恢復良好之病例。探討可能的致病原因以及影響視力預後之因素。 方法:病例報告。47 歲男性病患於接受頸部拔罐治療後第二天 主訴右眼視力喪失,最佳矯正視力僅存0.05 '目良底檢查發現有視網膜 變白,櫻桃紅斑、視網膜靜脈彎曲、以及視網膜出血。螢光血管攝影 可見視網膜動脈灌注延遲出現、動靜脈通過時間過長現象,證實為中 心視網膜動脈阻塞症。病患於接受治療後右眼視力恢復進步至1.0 。 結論:頸部的拔罐治療是可疑的致病原因。而本病例的視力預後 非常良好,推測有利復原的因素為:發病後能及時到院接受治療、血 桂種類可能為較易自發溶解的凝血桂子、以及不完全阻塞型的中心視 網膜動脈阻塞症。
Purpose: To present a case of central retinal 訂tery occlusion (CRAO). The suspected etiology and factors of fair visual outcome were discussed. Method: Observational case report. Result: A 47-year-old male suffered from sudden vision loss of the right eye. He had a prior history of neck cupping one day earlier. On exarnination, best corrected visual acuity was 0.05 with a relative a宜erent pupillary defect of his right eye. Funduscopy revealed retinal opacification and a faint cherry-red spot consistent with a central retinal 訂tery occlusion (CRAO). Fluorescein angiography demonstrated delayed retinal perfusion wi血markedly prolonged A-V transit time. Neither cilioretinal 訂tery nor foveolar sparing was noted. Surprisingly,趾s visual acuity improved to 1.0 within one month and remained stable 扭曲e following 3 months. Conclusion:τ'he reasons visual recovery was excellent 扭曲is case of CRAO were thought to be early treatment and fibrin-platelet emboli 扭曲e causal emboli. We also point out the occult risk of neck cupping


    

本卷期目次
中華民國眼科醫學會雜誌 48卷2期 (2009.6)
眼後房腫瘤的診斷與治療/ 陳祐瑲洪啟庭林思源蔡明霖
一種簡單的眼瞼下垂手術/ 吳鑑修
KERATOCONUS: DIAGNOSIS AND CONTACT LENS FITTING/ Chung-Ying HuangJiahn-Shing LeeChiun-Ho HouKen-Kuo Lin
THE RESULTS OF CATARACT SURGERY WITH TORIC INTRAOCULAR LENS IMPLANTATION IN PATIENTS WITH ASTIGMATISM/ Yun-Chuan ChenShih-Chun ChaoHung-Yu Lin
PRELIMINARY EXPERIENCE OF OCTYL-2-CYANOACRYLATE (DERMABOND) FOR EPIBLEPHARONCORRECTION IN TAIWAN CHILDREN/ Wei-Yi YehTzu-En WuCheng-Kuo Cheng
台灣地區精神分裂症病患立體感之初探/ 胡信傳蔡明霖曾冬勝高維聰陳南福呂慶祥洪啟庭
台灣一醫學中心青光眼門診病例型態及相關的眼球結構之分析/ 李金蓉藍郁文謝瑞玟
HALLERVORDEN-SPATZ SYNDROME PRESENTING AS BILATERAL OPTIC ATROPHY--A CASE REPORT/ I-Wen PanMuh-Chiou LinShwu-Jiuan Sheu
ORBITAL LIPOSARCOMA--A CASE REPORT/ Chih-Wei ShihChen-Tu WuHan-Min TsengShu-Lang Liao
ORBITAL CELLULITIS FOLLOWING HORDEOLUM IN AN IMMUNOCOMPROMISED PATIENT WITH DIABETES AND BREAST CANCER--A CASE REPORT/ Shwu-Huey LeeJack Yu-Shih LinKai WangSzu-Yuan LinShun-Ling Lin
ISOLATED TROCHLEAR NERVE PALSY ASSOCIATED WITH CAROTID-CAVERNOUS SINUS FISTULA: A CASE REPORT/ Fuh-Shiou ChuangChih-Ming LinI-Hung HseuYan-Kai FanSzu-Yuan Lin
FONSECAEA FUNGAL KERATITIS AFTER RADIAL KERATOTOMY--A CASE REPORT/ Wu-Ping LoChing-Liang KuoMing-Tse KuoPo-chiung Fang
CHRONIC POST-OPERATIVE ENDOPHTHALMITIS CAUSED BY AN UNUSUAL STRAIN--RHIZOBIUM RADIOBACTER/ Yi-Chun YangAn-Fei LiPei-Yu LinFenq-Lih Lee
MACULAR ABNORMALITIES AND TREATMENT AFTER CLEAR CORNEA PHACOEMULSIFICATION--AN OPTICAL COHERENCE TOMOGRAPHY STUDY/ Pin-fang ChenWei-Li ChenChang-Hao YangChung-May Yang
INCONTINENTIA PIGMENTI--A CASE REPORT/ Yu-Chou ChenChi-Wu Chang
ROSAI-DORFMAN DISEASE WITHINTRAOCULAR INVOLVEMENT/ Yi-Lin LiaoLing-Yuh Kao
疑頸部拔罐相關之中心視網膜動脈阻塞症/ 劉又綾黃峻峰羅綸謙陳珊霓
以淚腺腫瘤表現的羅塞-朵夫曼氏症--病例報告/ 蔡守恆高啟祥林智一
 
   
 
   

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