视网膜疾病（Retinal disease）.docVIP

视网膜疾病（Retinal disease） Seventeen, retinal disease 1. classification of retinal artery occlusion: obstruction of any part of the retinal artery from the common carotid artery to the retinal arteriole may cause the corresponding retinal ischemia. Arterial occlusion performance depends on vascular involvement, so retinal artery occlusion can be divided into central retinal artery occlusion, branch retinal artery occlusion, precapillary retinal arteriole and ocular ischemic syndrome. 2. what causes obstruction of the central retinal artery? It is often caused by atherosclerotic embolism at the level of the sieve plate. There are atherosclerotic plaques, hemorrhage, thrombosis, spasm and dissecting aneurysm in the central artery. Emboli may account for 20% of cases. Systemic causes include migraine, trauma, coagulopathy, inflammatory or infectious diseases, connective tissue diseases, etc.. Retinal detachment surgery or orbital surgery, inferior turbinate or retrobulbar injection of prednisone and other drugs cause vomiting. 3. why do the elderly suffer from central retinal artery occlusion? This is due to suffering from atherosclerosis, lumen wall thickening, rough and narrow, thrombogenesis and occlusion occurs during sleep or sit, in the eyes also have ocelli, occur at the same time, more men than women. 4. what are the manifestations of the central retinal artery occlusion? The main feature is a sudden, painless, complete blindness. There are some patients before the onset of paroxysmal amaurosis. The direct light reflex of the eye pupil disappeared and the indirect light reflex existed. Retinal opacification edema, especially the posterior pole, but in the fovea, can see the dark side of choroidal orange reflective, gray white in the surrounding edema background, formation of cherry red. Thinning of retinal arteries and rare retinal hemorrhages. A few weeks later, the retinal edema subsided, but the optic disc was pale, the retina atrophied and the blood vessels thi