未破裂视网膜动脉大动脉瘤的检测及特点。

Saori Sakaguchi, Yuki Muraoka, Naomi Nishigori, Masaharu Ishikura, Shin Kadomoto, Manabu Miyata, Tomoaki Murakami, Sotaro Ooto, Akitaka Tsujikawa
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引用次数: 2

摘要

目的:探讨未破裂视网膜动脉大动脉瘤(RAMs)的存在及其病变特征。方法:回顾性观察性研究包括2014年4月至2020年4月在京都大学医院眼科就诊的50例(100只眼)有症状的单侧破裂公羊,并在发病后至少随访6个月。通过回顾在发病前或随访期间进行的彩色眼底摄影和红外扫描激光眼底镜检查的结果来检查未破裂RAMs的存在和特征。结果:50例患者中有6例检测到未破裂的羊膜。部分患者有双侧或多发未破裂羊膜,6例患者中8眼共检出12只未破裂羊膜。在检测到的病变中,8个在随访期间表现出直径的纵向增加,而6个表现出破裂。结论:未破裂的RAM不是一种罕见的视网膜血管异常,可以扩大并发展为破裂的RAM。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
DETECTION AND CHARACTERISTICS OF UNRUPTURED RETINAL ARTERIAL MACROANEURYSMS.

Purpose: To determine the presence of unruptured retinal arterial macroaneurysms (RAMs) and to examine the characteristics of the detected lesions.

Methods: This retrospective observational study included the affected and contralateral eyes of 50 patients (100 eyes) with symptomatic, unilateral, ruptured RAMs who visited the Department of Ophthalmology at the Kyoto University Hospital (April 2014-April 2020) and were followed up for at least 6 months after the onset. The presence and characteristics of unruptured RAMs were examined by reviewing the findings of color fundus photography and infrared scanning laser ophthalmoscopy performed before the onset or during the follow-up period.

Results: Unruptured RAMs were detected in six of the 50 patients. Some patients had bilateral or multiple unruptured RAMs, and a total of 12 unruptured RAMs were detected in eight eyes of the six patients. Among the detected lesions, eight exhibited a longitudinal increase in their diameter during the follow-up period, whereas six exhibited ruptures.

Conclusion: Unruptured RAM is not an uncommon retinal vascular abnormality and can enlarge and progress to ruptured RAM.

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