视网膜动脉阻塞:“视网膜卒中”的认识与挑战

Retinal Artery Occlusion:Knowledge and Challenge of“Retinal Stroke”

视网膜动脉阻塞是临床上导致急性无痛性单眼视力丧失的主要疾病,由于发病机制和危险因素与缺血性卒中相似,被视为“视网膜卒中”。但作为一种特殊类型的卒中,“视网膜卒中”的临床管理仍存在较高的不确定性和争议。本文对“视网膜卒中”的定义演变、就诊科室、识别和评估、检查、治疗和二级预防等方面进行综述,以期为临床医师全面认识和系统规范诊治“视网膜卒中”提供依据。

Retinal artery occlusion is the main cause of acute painless monocular vision loss,and its pathogenesis and risk factors are similar to ischemic stroke,so it is named as“retinal stroke”.However,as a special type of stroke,the clinical management of“retinal stroke”is still highly uncertain and controversial.This article reviewed the literatures on“retinal stroke”,and introduced the definition,department for medical treatment,recognition and evaluation,examination,treatment and secondary prevention of“retinal stroke”,in order to help clinicians better understand and standardize the diagnosis and treatment of retinal stroke.