Intra-arterial Thrombolysis for Central Retinal Artery Occlusion: Two Cases Report

被引：10

作者：

Hwang, Gyojun ^{[1
]}

Woo, Se Joon ^{[2
]}

Jung, Cheolkyu ^{[3
]}

Park, Kyu Hyung ^{[2
]}

Hwang, Jeong-Min ^{[2
]}

Kwon, O-Ki ^{[4
]}

机构：

[1] Hallym Univ, Chuncheon Sacred Heart Hosp, Dept Neurosurg, Chunchon, South Korea

[2] Seoul Natl Univ, Bundang Hosp, Dept Ophthalmol, Songnam 463707, South Korea

[3] Seoul Natl Univ, Bundang Hosp, Dept Radiol, Songnam 463707, South Korea

[4] Seoul Natl Univ, Bundang Hosp, Dept Neurosurg, Songnam 463707, South Korea

来源：

JOURNAL OF KOREAN MEDICAL SCIENCE | 2010年 / 25卷 / 06期

关键词：

Central Retinal Artery Occlusion; Thrombolysis; FIBRINOLYSIS; PROGNOSIS; LYSIS;

D O I：

10.3346/jkms.2010.25.6.974

中图分类号：

R5 [内科学];

学科分类号：

100201 [内科学];

摘要：

Central retinal artery occlusion (CRAO) causes severe visual loss in affected eye and vision does not recover in more than 90% of the patients. It is believed that it occurs by occlusion of the central retinal artery with small emboli from atherosclerotic plaque of internal cerebral artery. Retina is a part of the brain, thus basically CRAO is corresponding to acute occlusion of intracerebral artery and retinal ischemia is to cerebral stroke. Therefore, intra-arterial thrombolysis (IAT) has been considered as a treatment method in CRAO. Recently, we treated 2 patients diagnosed as CRAO and could achieve complete recanalization on fundus fluorescein angiogram with IAT. Of them, one recovered visual acuity to 20/25. We report our 2 CRAO cases treated with IAT and discuss technical aspects for IAT and management of patient. To the best of our knowledge, this is the first Korean report of IAT for CRAO.

引用

页码：974 / 979

页数：6

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