医学
烟雾病
眼动脉
血管疾病
视网膜分支静脉阻塞
视网膜分支动脉阻塞
视网膜中央静脉阻塞
视网膜中央动脉阻塞
闭塞
颈内动脉
视网膜
外科
视网膜动脉阻塞
眼科
心脏病学
荧光血管造影
黄斑水肿
血流
作者
Hyo Jin Seong,Ji Hwan Lee,Ji Hoe Heo,Do Kyung Kim,Yong Bae Kim,Christopher S. Lee
出处
期刊:Retina-the Journal of Retinal and Vitreous Diseases
[Ovid Technologies (Wolters Kluwer)]
日期:2021-09-01
卷期号:41 (9): 1791-1798
被引量:1
标识
DOI:10.1097/iae.0000000000003181
摘要
In Brief Purpose: Although moyamoya disease primarily affects the carotid artery in the ophthalmic artery bifurcation area, retinal vascular abnormalities in moyamoya disease have rarely been reported. The purpose of this report is to describe clinical findings of patients with retinal vascular occlusion in patients with moyamoya disease and present its clinical significance. Methods: We reviewed and analyzed patients with moyamoya disease with retinal vascular occlusions. For this, a retrospective medical chart review was performed in a tertiary medical center and a literature search was performed using PubMed and EMBASE until September 2020. Results: Patients with retinal artery occlusion (RAO) were significantly younger than patients with retinal vein occlusion (25.0 vs. 40.1 years, P = 0.023). Of 14 patients, retinal vascular occlusion was the presenting sign of moyamoya disease in 8 (57.1%) patients. The occlusion site at the carotid artery was proximal to the ophthalmic artery bifurcation area in 8 (57.1%) patients. Legal blindness occurred in 8 (57.1%) patients at final visits. Conclusion: Retinal vascular occlusion is a rare but sight-threatening ocular complication in patients with moyamoya disease. Overall, younger age may be a risk factor for RAO, whereas older age for retinal vein occlusion. Retinal vascular occlusion can be an important indicator of moyamoya disease screening, especially in relatively younger and healthy patients. Retinal vascular occlusion is a rare but sight-threatening complication in patients with moyamoya disease and sometimes precedes other neurological symptoms. Therefore, this can be an important indicator of moyamoya disease screening, especially in relatively young and healthy patients.
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