国际眼科纵览

• 综述 • 上一篇    

#br# 视网膜动脉阻塞治疗现状

陈嘉宝1 李金瑛2   

  1. 1汕头大学医学院, 汕头 515063; 2北京大学深圳医院眼科, 深圳 518036
  • 收稿日期:2018-09-29 出版日期:2019-02-22 发布日期:2019-03-05
  • 通讯作者: 李金瑛,Email:ljyszbdyy@163.com E-mail:ljyszbdyy@163.com

Treatment of retinal artery occlusion

Chen Jiabao1, Li Jinying2   

  1. 1 Shantou University Medical College, Shantou 515063,  China; 2 Department of Ophthalmology, Peking University Shenzhen Hospital, Shenzhen 518036, China
  • Received:2018-09-29 Online:2019-02-22 Published:2019-03-05
  • Contact: Li Jinying, Email: ljyszbdyy@163.com E-mail:ljyszbdyy@163.com

摘要:

视网膜动脉阻塞常造成严重的不可逆性视力损伤。临床常采用保守型综合治疗,包括眼球按摩、前房穿刺、血管活性药物及降眼压治疗等。研究表明此类治疗难能有效改善患者视力,部分治疗可能对患者有害。激进型治疗包括动静脉溶栓、手术及YAG激光治疗,研究显示均具有一定治疗效果,以溶栓治疗为主,但存在各种并发症。中药治疗仍需进行临床试验评估。科学评估视网膜动脉阻塞患者病情,为患者适时选取最适治疗以达最佳治疗效果仍是未来的研究目标。

Abstract:

Retinal artery occlusion, causing irretrievably visual loss due to the retinal hypoxic\|ischemic apoptosis, is also called eye stroke. The conservative treatment is wildly use in clinic, including ocular massage, anterior chamber paracentesis, vasodilator and lower intraocular pressure. Studies indicated that the conservative treatments have no effective to improve the vision, some of them might be harmful. As for the aggressive treatment, which consist of intravenous/intra\|arterial thrombolysis, surgery and YAG\|laser treatment, the studies showed a certain degree of effect, particularly thrombolysis, whereas exist sorts of complication. The traditional Chinese medicine treatment is needed to be scientifically evaluated. Evaluating the patient’s condition scientifically and choosing the most suitable treatment to get the best outcome is important.