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Eyes and retinal arterial tumor 1 Misdiagnosis
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Eyes and retinal arterial tumor 1 Misdiagnosis
[Keywords:] retinal arterial aneurysm, misdiagnosis
Our hospital retinal arterial aneurysm in 1 case, but left when the clinical diagnosis of retinal artery occlusion was misdiagnosed as hardening of bleeding, the right eye 2 years after the same symptoms, diagnosis of retinal angioma, now reported below.
1 Case information
Patients, male, 70 years old. Right eye visual acuity at 1 h dip December 2, 2007 as “right eye retinal vein occlusion, retinal artery spasm,” emergency admission, visual acuity: right eye: Index / eyes, left eye: light sense, NCT: right eye 15.4 mm Hg, left eye 17.5 mm Hg. right eye lens cortical and nuclear opacities (+ +, vitreous humor (+ +. fundus: retinal artery was thin wire-like, from the disc 1 PD at large flake bleeding, central spindle-shaped bulge of white and yellow pigment spots around, spread the top of the fovea scattered hemorrhage. left cornea transparent, closed pupil.
Ask history: patients with hypertension, atherosclerosis, history of more than 30 years. The left eye in October 1999, respectively, in June 2000, July recurrent vitreous hemorrhage. October 1999 FFA: left superior temporal retinal artery in 2 to 3 branches of three high-level fluorescence leakage from the optic disc associated with bleeding at 3 PD, superior temporal retinal artery occlusion was white linear, macular dark areas expand, the right eye at the end of retinal arteriosclerosis changes. was diagnosed as “left eye retinal hemorrhage, eye ~ of retinal arteriosclerosis “(Figure 1.
Surgical History: June 2000 left a lot of blood in the vitreous emergency purposes vitrectomy plus intraocular laser surgery, bleeding again, the same year in July left the line complex vitreoretinal surgery, silicone oil filling. Acuity: right eye 1.0, left eye 0.02. right eye October 11, 2001 4 days blurred vision, FFA tips CNV, after correction for the retinal angioma (Figure 2,3 an
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