RETINAL ARTERIAL MACROANEURYSM COMBINED WITH BRANCH RETINAL ARTERY OCCLUSION: Literature Review.

IF 2.3 2区医学 Q2 OPHTHALMOLOGY

Retina-The Journal of Retinal and Vitreous Diseases Pub Date : 2024-10-01 DOI:10.1097/IAE.0000000000004245

Zigan Zhou, Zhong Lin, Binghua Guo, Chen Yang, Xingyi Wu, Bi Sun, Yuhao Liu, Ronghan Wu

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Abstract

Purpose: To summarize the causes of retinal arterial microaneurysm combined with branch retinal artery occlusion.

Methods: The case reports of retinal arterial microaneurysm combined with branch retinal artery occlusion were searched in PubMed, Web of Science, and CNKI databases before May 1, 2024. A total of nine participants from nine case reports were included to analyze factors leading to complications.

Results: The reasons for this complication are as follows: complications during photocoagulation therapy. Intraretinal hemorrhage and exudation result in compression of adjacent or distal arteries, resulting in branch retinal artery occlusion. Embolus dislodgement or intraarterial embolus formation can block the artery, damage the wall, and provide conditions for the development of retinal arterial microaneurysm. In addition, it is necessary to be alert to the optic disk macroaneurysm, if hemorrhage or embolus formation in the macroaneurysm will affect the blood supply of the downstream artery, affecting a large range of the retina.

Conclusion: Based on the review of case reports, we found that retinal arterial microaneurysm and branch retinal artery occlusion can cause each other. Acute vision loss can result when a complication occurs. In addition, retinal vascular diseases can reflect the whole body, suggesting that ophthalmologists need to pay attention not only to the patient's fundus but also to the patient's systemic diseases.

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视网膜动脉大动脉瘤合并视网膜分支动脉闭塞：文献综述。

目的：总结视网膜动脉微动脉瘤（RAM）合并视网膜分支动脉闭塞（BRAO）的原因：方法：在 2024 年 5 月 1 日之前，在 PubMed、Web of Science 和 CNKI 数据库中检索 RAM 合并 BRAO 的病例报告。方法：在 2024 年 5 月 1 日前的 PubM、Web Science 和 CNKI 数据库中检索 RAM 合并 BRAO 的病例报告，共纳入 9 份病例报告中的 9 名参与者，分析导致并发症的因素：导致并发症的原因如下：光凝治疗期间的并发症。视网膜内出血和渗出导致邻近或远端动脉受压，造成 BRAO。栓子脱落或动脉内栓子形成会阻塞动脉，损伤动脉壁，为 RAM 的发生提供条件。此外，还需警惕视盘大动脉瘤，如果大动脉瘤内出血或栓子形成，会影响下游动脉的血液供应，对视网膜造成大范围影响：根据对病例报告的回顾，我们发现 RAM 和 BRAO 可相互引发。并发症发生时会导致急性视力丧失。此外，视网膜血管疾病可反映全身情况，这表明眼科医生不仅需要关注患者的眼底，还需要关注患者的全身性疾病。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Retina-The Journal of Retinal and Vitreous Diseases 医学-眼科学

CiteScore

5.70

自引率

9.10%

发文量

554

审稿时长

3-6 weeks

期刊介绍： RETINA® focuses exclusively on the growing specialty of vitreoretinal disorders. The Journal provides current information on diagnostic and therapeutic techniques. Its highly specialized and informative, peer-reviewed articles are easily applicable to clinical practice. In addition to regular reports from clinical and basic science investigators, RETINA® publishes special features including periodic review articles on pertinent topics, special articles dealing with surgical and other therapeutic techniques, and abstract cards. Issues are abundantly illustrated in vivid full color. Published 12 times per year, RETINA® is truly a “must have” publication for anyone connected to this field.