BMJ:颈动脉狭窄所致的红眼——病例报道

2016-02-19 MedSci MedSci原创

BMJ:颈动脉狭窄所致的红眼——病例报道男性患者,66岁,右眼发红疼痛。患者右眼存在葡萄膜炎,并使用类固醇滴眼进行治疗。每月的检查中发现患者出现白内障且虹膜上出现新生血管。患者右侧颈动脉出可听到杂音。CT扫描显示右侧颈总动脉阻塞(箭头所指)。由于右颈动脉的阻塞性疾病使得患者出现眼缺血综合征。其症状表现为视力减退,疼痛和一过性黑朦。葡萄膜炎可能是颈动脉阻塞的最初表现,必须对虹膜的新生血管进行仔细检查

男性患者,66岁,右眼发红疼痛。患者右眼存在葡萄膜炎,并使用类固醇滴眼进行治疗。

每月的检查中发现患者出现白内障且虹膜上出现新生血管。患者右侧颈动脉出可听到杂音。CT扫描显示右侧颈总动脉阻塞(箭头所指)。



由于右颈动脉的阻塞性疾病使得患者出现眼缺血综合征。其症状表现为视力减退,疼痛和一过性黑朦。

葡萄膜炎可能是颈动脉阻塞的最初表现,必须对虹膜的新生血管进行仔细检查。

原始出处:

Sumith Perera, Hala Ali, Jeremy Hoffman, Andrew Ceccherini, Shennan Jose, Karen Tyler. A red eye from carotid stenosis. BMJ 2016; 352 doi: http://dx.doi.org/10.1136/bmj.i364 (Published 29 January 2016)Cite this as: BMJ 2016;352:i364

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  2. [GetPortalCommentsPageByObjectIdResponse(id=1843407, encodeId=185d184340eb1, content=<a href='/topic/show?id=dab8100523bb' target=_blank style='color:#2F92EE;'>#颈动脉#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=33, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=100523, encryptionId=dab8100523bb, topicName=颈动脉)], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=416347, createdName=mhzhuang@stu.e, createdTime=Fri Oct 07 20:10:00 CST 2016, time=2016-10-07, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=149942, encodeId=8b7014994224, content=简直是难以形容的震惊, beContent=null, objectType=article, channel=null, level=null, likeNumber=39, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=c0661967273, createdName=1e14faebm51(暂无匿称), createdTime=Thu Oct 20 13:14:53 CST 2016, time=2016-10-20, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1847917, encodeId=d53d184e917ab, content=<a href='/topic/show?id=2977356edc' target=_blank style='color:#2F92EE;'>#BMJ#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=30, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=3567, encryptionId=2977356edc, topicName=BMJ)], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=148754, createdName=gaoxiaoe, createdTime=Fri Jan 20 10:10:00 CST 2017, time=2017-01-20, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=65087, encodeId=473d6508e93, content=标题似乎不太妥, beContent=null, objectType=article, channel=null, level=null, likeNumber=88, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=b08d1688793, createdName=1de5193fm68(暂无匿称), createdTime=Sun Feb 21 17:17:00 CST 2016, time=2016-02-21, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1496853, encodeId=0de3149685378, content=<a href='/topic/show?id=217b33259df' target=_blank style='color:#2F92EE;'>#动脉狭窄#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=22, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=33259, encryptionId=217b33259df, topicName=动脉狭窄)], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=b4ae9287436, createdName=piaojinhua, createdTime=Sun Feb 21 02:10:00 CST 2016, time=2016-02-21, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=64980, encodeId=7c7664980ad, content=有意思, beContent=null, objectType=article, channel=null, level=null, likeNumber=86, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=48ce1618316, createdName=stupidox, createdTime=Sat Feb 20 20:04:00 CST 2016, time=2016-02-20, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=64866, encodeId=6bbb64866a3, content=两者有关系吗?, beContent=null, objectType=article, channel=null, level=null, likeNumber=97, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=15fd1620855, createdName=laobo, createdTime=Sat Feb 20 08:16:00 CST 2016, time=2016-02-20, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=64838, encodeId=ada064838ed, content=shou'jian'le, beContent=null, objectType=article, channel=null, level=null, likeNumber=64, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=30f31689310, createdName=1de53b93m81(暂无匿称), createdTime=Fri Feb 19 23:24:00 CST 2016, time=2016-02-19, status=1, ipAttribution=)]
    2016-10-20 1e14faebm51(暂无匿称)

    简直是难以形容的震惊

    0

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    2017-01-20 gaoxiaoe
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    2016-02-21 1de5193fm68(暂无匿称)

    标题似乎不太妥

    0

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  6. [GetPortalCommentsPageByObjectIdResponse(id=1843407, encodeId=185d184340eb1, content=<a href='/topic/show?id=dab8100523bb' target=_blank style='color:#2F92EE;'>#颈动脉#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=33, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=100523, encryptionId=dab8100523bb, topicName=颈动脉)], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=416347, createdName=mhzhuang@stu.e, createdTime=Fri Oct 07 20:10:00 CST 2016, time=2016-10-07, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=149942, encodeId=8b7014994224, content=简直是难以形容的震惊, beContent=null, objectType=article, channel=null, level=null, likeNumber=39, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=c0661967273, createdName=1e14faebm51(暂无匿称), createdTime=Thu Oct 20 13:14:53 CST 2016, time=2016-10-20, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1847917, encodeId=d53d184e917ab, content=<a href='/topic/show?id=2977356edc' target=_blank style='color:#2F92EE;'>#BMJ#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=30, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=3567, encryptionId=2977356edc, topicName=BMJ)], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=148754, createdName=gaoxiaoe, createdTime=Fri Jan 20 10:10:00 CST 2017, time=2017-01-20, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=65087, encodeId=473d6508e93, content=标题似乎不太妥, beContent=null, objectType=article, channel=null, level=null, likeNumber=88, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=b08d1688793, createdName=1de5193fm68(暂无匿称), createdTime=Sun Feb 21 17:17:00 CST 2016, time=2016-02-21, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1496853, encodeId=0de3149685378, content=<a href='/topic/show?id=217b33259df' target=_blank style='color:#2F92EE;'>#动脉狭窄#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=22, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=33259, encryptionId=217b33259df, topicName=动脉狭窄)], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=b4ae9287436, createdName=piaojinhua, createdTime=Sun Feb 21 02:10:00 CST 2016, time=2016-02-21, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=64980, encodeId=7c7664980ad, content=有意思, beContent=null, objectType=article, channel=null, level=null, likeNumber=86, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=48ce1618316, createdName=stupidox, createdTime=Sat Feb 20 20:04:00 CST 2016, time=2016-02-20, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=64866, encodeId=6bbb64866a3, content=两者有关系吗?, beContent=null, objectType=article, channel=null, level=null, likeNumber=97, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=15fd1620855, createdName=laobo, createdTime=Sat Feb 20 08:16:00 CST 2016, time=2016-02-20, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=64838, encodeId=ada064838ed, content=shou'jian'le, beContent=null, objectType=article, channel=null, level=null, likeNumber=64, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=30f31689310, createdName=1de53b93m81(暂无匿称), createdTime=Fri Feb 19 23:24:00 CST 2016, time=2016-02-19, status=1, ipAttribution=)]
    2016-02-20 stupidox

    有意思

    0

  7. [GetPortalCommentsPageByObjectIdResponse(id=1843407, encodeId=185d184340eb1, content=<a href='/topic/show?id=dab8100523bb' target=_blank style='color:#2F92EE;'>#颈动脉#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=33, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=100523, encryptionId=dab8100523bb, topicName=颈动脉)], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=416347, createdName=mhzhuang@stu.e, createdTime=Fri Oct 07 20:10:00 CST 2016, time=2016-10-07, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=149942, encodeId=8b7014994224, content=简直是难以形容的震惊, beContent=null, objectType=article, channel=null, level=null, likeNumber=39, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=c0661967273, createdName=1e14faebm51(暂无匿称), createdTime=Thu Oct 20 13:14:53 CST 2016, time=2016-10-20, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1847917, encodeId=d53d184e917ab, content=<a href='/topic/show?id=2977356edc' target=_blank style='color:#2F92EE;'>#BMJ#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=30, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=3567, encryptionId=2977356edc, topicName=BMJ)], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=148754, createdName=gaoxiaoe, createdTime=Fri Jan 20 10:10:00 CST 2017, time=2017-01-20, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=65087, encodeId=473d6508e93, content=标题似乎不太妥, beContent=null, objectType=article, channel=null, level=null, likeNumber=88, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=b08d1688793, createdName=1de5193fm68(暂无匿称), createdTime=Sun Feb 21 17:17:00 CST 2016, time=2016-02-21, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1496853, encodeId=0de3149685378, content=<a href='/topic/show?id=217b33259df' target=_blank style='color:#2F92EE;'>#动脉狭窄#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=22, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=33259, encryptionId=217b33259df, topicName=动脉狭窄)], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=b4ae9287436, createdName=piaojinhua, createdTime=Sun Feb 21 02:10:00 CST 2016, time=2016-02-21, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=64980, encodeId=7c7664980ad, content=有意思, beContent=null, objectType=article, channel=null, level=null, likeNumber=86, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=48ce1618316, createdName=stupidox, createdTime=Sat Feb 20 20:04:00 CST 2016, time=2016-02-20, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=64866, encodeId=6bbb64866a3, content=两者有关系吗?, beContent=null, objectType=article, channel=null, level=null, likeNumber=97, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=15fd1620855, createdName=laobo, createdTime=Sat Feb 20 08:16:00 CST 2016, time=2016-02-20, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=64838, encodeId=ada064838ed, content=shou'jian'le, beContent=null, objectType=article, channel=null, level=null, likeNumber=64, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=30f31689310, createdName=1de53b93m81(暂无匿称), createdTime=Fri Feb 19 23:24:00 CST 2016, time=2016-02-19, status=1, ipAttribution=)]
    2016-02-20 laobo

    两者有关系吗?

    0

  8. [GetPortalCommentsPageByObjectIdResponse(id=1843407, encodeId=185d184340eb1, content=<a href='/topic/show?id=dab8100523bb' target=_blank style='color:#2F92EE;'>#颈动脉#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=33, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=100523, encryptionId=dab8100523bb, topicName=颈动脉)], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=416347, createdName=mhzhuang@stu.e, createdTime=Fri Oct 07 20:10:00 CST 2016, time=2016-10-07, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=149942, encodeId=8b7014994224, content=简直是难以形容的震惊, beContent=null, objectType=article, channel=null, level=null, likeNumber=39, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=c0661967273, createdName=1e14faebm51(暂无匿称), createdTime=Thu Oct 20 13:14:53 CST 2016, time=2016-10-20, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1847917, encodeId=d53d184e917ab, content=<a href='/topic/show?id=2977356edc' target=_blank style='color:#2F92EE;'>#BMJ#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=30, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=3567, encryptionId=2977356edc, topicName=BMJ)], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=148754, createdName=gaoxiaoe, createdTime=Fri Jan 20 10:10:00 CST 2017, time=2017-01-20, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=65087, encodeId=473d6508e93, content=标题似乎不太妥, beContent=null, objectType=article, channel=null, level=null, likeNumber=88, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=b08d1688793, createdName=1de5193fm68(暂无匿称), createdTime=Sun Feb 21 17:17:00 CST 2016, time=2016-02-21, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1496853, encodeId=0de3149685378, content=<a href='/topic/show?id=217b33259df' target=_blank style='color:#2F92EE;'>#动脉狭窄#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=22, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=33259, encryptionId=217b33259df, topicName=动脉狭窄)], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=b4ae9287436, createdName=piaojinhua, createdTime=Sun Feb 21 02:10:00 CST 2016, time=2016-02-21, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=64980, encodeId=7c7664980ad, content=有意思, beContent=null, objectType=article, channel=null, level=null, likeNumber=86, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=48ce1618316, createdName=stupidox, createdTime=Sat Feb 20 20:04:00 CST 2016, time=2016-02-20, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=64866, encodeId=6bbb64866a3, content=两者有关系吗?, beContent=null, objectType=article, channel=null, level=null, likeNumber=97, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=15fd1620855, createdName=laobo, createdTime=Sat Feb 20 08:16:00 CST 2016, time=2016-02-20, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=64838, encodeId=ada064838ed, content=shou'jian'le, beContent=null, objectType=article, channel=null, level=null, likeNumber=64, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=30f31689310, createdName=1de53b93m81(暂无匿称), createdTime=Fri Feb 19 23:24:00 CST 2016, time=2016-02-19, status=1, ipAttribution=)]
    2016-02-19 1de53b93m81(暂无匿称)

    shou'jian'le

    0