| 篇名 |
睡醒後表現的中心網膜動脈阻塞合併眼肌麻痺—病例報告 |
| 並列篇名 |
Waking Up with Central Retinal Artery Occlusion and Ophthalmoplegia - A Case Report |
| 作者 |
梁怡珈、沈筠惇、林思源、汪宜樺 |
| 中文摘要 |
報告一中心網膜動脈阻塞合併眼肌麻痺之病例。一59歲女性起床後發現左眼視力喪失。因使用過量安眠藥物，睡眠期間可能有持續性眼球壓迫。就診時左眼視力為僅光覺，檢查發現左頰腫脹、左眼上斜位、相對性瞳孔傳入障礙及視網膜水腫。類固醇脈衝治療後，視神經盤仍於兩週後喪白。脊椎手術後產生的中心網膜動脈阻塞併眼肌麻痺的病例曾被提出。眼動脈可能因外在壓迫而阻塞。壓迫解除後血流恢復但缺血性傷害喪失不可逆。 |
| 英文摘要 |
Purpose: To report a case of central retinal artery occlusion with ophthalmoplegia. Method: Case report. Result: A 59-year-old woman woke up with left eye blindness. A history of persisting eyeball compression during sleeping was likely due to overdose of sleeping pills. Her visual acuity was LP. Swelling of the left cheek, left hypertropia, relative afferent pupillary defect, and retinal edema were noted. She received methylprednisolone pulse therapy. A pale disc developed 2 weeks later. Discussion: A combination of central retinal artery occlusion and ophthalmoplegia was reported after spinal surgery. Ophthalmic artery occlusion due to compression was the probable cause. The perfusion was restored when the patient’s position changed, but the ischemic damage was irreversible. |
| 起訖頁 |
084-091 |
| 關鍵詞 |
眼肌麻痺、中心網膜動脈阻塞、Ophthalmoplegia、central retinal artery occlusion |
| 刊名 |
輔仁醫學期刊 |
| 出版單位 |
輔仁大學醫學院
|
| 期數 |
201606 (14:2期) |
| DOI |
10.3966/181020932016061402005 複製DOI DOI申請 |
| QRCode |
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