视网膜中央静脉阻塞的临床特征分析

Analysis of clinical features of central retinal vein occlusion

目的分析视网膜中央静脉阻塞(CRVO)的临床特征。方法回顾性分析2017年1月至2020年6月于我院住院的59例(66眼)CRVO患者的临床资料,分析其临床特征。结果 59例CRVO患者中,男30例,女29例;单眼52例(88.1%),双眼7例(11.9%);非缺血型38例(64.4%),缺血型21例(35.6%);身体质量指数(BMI)升高29例(49.2%),高血脂28例(47.5%),叶酸(FA)水平降低26例(44.1%),24 h血压升高24例(40.7%),高血压15例(25.4%),同型半胱氨酸(Hcy)水平升高10例(16.9%),双眼闭角型青光眼8例(13.6%),糖尿病6例(10.2%),D-二聚体水平升高5例(8.5%),视网膜血管炎3例(5.1%)。结论 CRVO的多数患者伴高血脂、高血压、FA水平降低及BMI升高,部分患者有Hcy水平升高、闭角型青光眼、糖尿病、D-二聚体水平升高及视网膜血管炎。

Objective To analyze the clinical features of central retinal vein occlusion(CRVO).Methods The clinical data of 59 patients(66 eyes)with CRVO admitted in our hospital from January 2017 to June 2020 were retrospectively analyzed,and the patients clinical features were analyzed.Results Among 59 CRVO patients,30 cases were males and 29 cases were females;52 cases(88.1%)were monocular,7 cases(11.9%)were binocular;38 cases(64.4%)were non-ischemic type,21 cases(35.6%)were chemic type;body mass index(BMI)increased in 29 cases(49.2%),hyperlipidemia in 28 cases(47.5%),folate(FA)level decreased in 26 cases(44.1%),24 h blood pressure increased in 24 cases(40.7%),hypertension in 15 cases(25.4%),homocysteine(Hcy)level increased in 10 cases(16.9%),bilateral angle closure glaucoma in 8 cases(13.6%),diabetes mellitus in 6 cases(10.2%),D-dimer level increased in 5 cases(8.5%),retinal vasculitis in 3 cases(5.1%).Conclusion Most patients with CRVO are accompanied by hyperlipidemia,hypertension,decreased FA level and increased BMI,while some patients have increased Hcy level,angle-closure glaucoma,diabetes,increased D-dimer level and retinal vasculitis.