1例年轻患者视网膜分支静脉阻塞的10年随访

A 10-year follow-up report of retinal branch vein occlusion in a young patient

视网膜静脉阻塞(retinal vein occlusion,RVO)是发生率仅次于糖尿病性视网膜病变的视网膜血管病。RVO后导致视网膜血管损伤进而引起血管闭塞,造成视网膜缺血从而促进异常视网膜新生血管(retinal neovascularization,RNV)的增生,晚期发生玻璃体积血、新生血管性青光眼等并发症,积极治疗可以稳定患者的眼部情况,避免并发症的发生。本文报告了1例患有高血压病的23岁年轻女性患者发生视网膜分支静脉阻塞并发新生血管增殖膜的病例,给予病变区视网膜激光光凝治疗,10年后随访发现RNV膜机化萎缩。

Retinal vein occlusion(RVO) is the second most common retinal vascular disease after diabetic retinopathy.Retinal vascular damage after RVO leads to venous occlusion,which further causes retinal ischemia and promotes abnormal retinal neovascularization(RNV).Later complications such as vitreous hemorrhage and neovascular glaucoma occur.Active treatment can stabilize the ocular condition of patients and avoid the occurrence of complications.This paper reports a case of a 23-year-old young female patient with hypertension who developed branch RVO complicated by neovascularization membrane.The lesion area was treated with laser photocoagulation.The RNV was found to be mechanized and atrophied after 10 years of follow-up.