眼动脉逆行和顺行介入治疗视网膜中央动脉阻塞的对比观察.pdf

Hans Journal of Ophthalmology 眼科学, 2017, 6(1), 35-44 Published Online March 2017 in Hans. /journal/hjo /10.12677/hjo.2017.61007 Comparative Observation of Retrograde and Interventional Therapy for Central Retinal Artery Occlusion 1* 2 2 1 3 3 4 Runsheng Wang , Tao Lei , Lu Qian , Shanshuang Du , Yi Wang , Yi Zheng , Peilin Lv 1 Department of Ophthalmology, The Forth Hospital of Xi’an, Xi’an Shaanxi 2 Department of Internal Medicine, The Forth Hospital of Xi’an, Xi’an Shaanxi 3 Department of Intervention, The Forth Hospital of Xi’an, Xi’an Shaanxi 4 Department of Ophthalmology, The First hospital of Xi’an, Xi’an Shaanxi th th st Received: Mar. 19 , 2017; accepted: Mar. 28 , 2017; published: Mar. 31 , 2017 Abstract Objective: To evaluate the clinical efficiency of retrograde as a novel method and interventional therapy for central retinal artery occlusion (CRAO). Method: CRAO 50 eyes with average onset time of 22 h, were divided into ophthalmic artery retrograde group with 26 eyes, ophthalmic ar- tery intervention group with 24 eyes. All eyes were used urokinase 400000U, papaverine 30 mg under DSA for thrombolysis treatment, and then DSA, FFA, vision changes were analyzed. Results: Retrograde and intervention treatment were found enlargement of ophthalmic artery and its branches, and eye ring accelerated circularly. FFA showed the efficient change and vision im- provement are similar in both groups, and there are no body and eye complications occurred in the process of intervention a