Japanese
English
- 有料閲覧
- Abstract 文献概要
- 1ページ目 Look Inside
鉄欠乏性貧血に網膜中心静脈切迫閉塞と毛様網膜動脈閉塞を併発した1症例を経験した。症例は45歳女性,主訴は右眼の突然の視力低下。初診時視力は右眼前手動弁。右眼底に,黄斑部を含む耳下側を中心とした領域の乳白色混濁,網膜血管の怒張,蛇行と出血,また螢光眼底造影で網膜乳白色病変に一致した動脈灌流の遅延,静脈層流の遅延を認めた。初診時の血液検査結果で鉄欠乏性貧血を認め,その治療開始後,視力の改善がみられた。鉄欠乏性貧血の低酸素状態が,網膜中心静脈閉塞をきたし,さらに,動静脈の圧勾配の変化で毛様網膜動脈閉塞を起こしたものと思われた。
A 45-year-old female developed sudden visual loss in the right eye. When seen the next day, the right visual acuity was hand motion. Funduscopy and fluorescein angiography showed impending central retinal vein occlusion and cilioretinal artery occlusion. The left eye was not affected throughout. Further examinations revealed iron-deficiency anemia presumably secondary of myoma of the uterus. Uterectomy and medication with iron preparations led to cure of anemia. The right visual acuity gradually improved to 0.8 three months after onset.
Copyright © 1997, Igaku-Shoin Ltd. All rights reserved.