PDF(Pubmed)
Abstract：
BACKGROUND: Eales\' disease is an idiopathic peripheral retinal vasculopathy characterized by retinal phlebitis, ischemia, retinal neovascularization, and recurrent vitreous hemorrhages. But CRAO is an unusual presentation.
METHODS: A 27-year-old healthy female nurse of Indian descent presented with sudden vision loss in her right eye upon awakening. Central retinal artery occlusion (CRAO), combined with mild central retinal vein occlusion (CRVO), was diagnosed. During the second of three consecutive sessions of hyperbaric oxygen treatments, her vision rapidly improved. One week later, she developed peripheral phlebitis in the same eye. Infectious, inflammatory, and hematologic etiologies were excluded. The systemic evaluation was normal except for a positive Mantoux tuberculin skin test. Following systemic steroidal treatment, she experienced gradual improvement of her vasculitis. Two weeks later, mild retinal phlebitis appeared in her left eye. Eales\' disease was diagnosed after the exclusion of other diseases.
CONCLUSIONS: This is an unusual Eales\' disease case, which presented as combined CRAO with mild CRVO. The association of CRAO and Eales\' disease is reported here for the first time, to our best knowledge.
METHODS: A 27-year-old healthy female nurse of Indian descent presented with sudden vision loss in her right eye upon awakening. Central retinal artery occlusion (CRAO), combined with mild central retinal vein occlusion (CRVO), was diagnosed. During the second of three consecutive sessions of hyperbaric oxygen treatments, her vision rapidly improved. One week later, she developed peripheral phlebitis in the same eye. Infectious, inflammatory, and hematologic etiologies were excluded. The systemic evaluation was normal except for a positive Mantoux tuberculin skin test. Following systemic steroidal treatment, she experienced gradual improvement of her vasculitis. Two weeks later, mild retinal phlebitis appeared in her left eye. Eales\' disease was diagnosed after the exclusion of other diseases.
CONCLUSIONS: This is an unusual Eales\' disease case, which presented as combined CRAO with mild CRVO. The association of CRAO and Eales\' disease is reported here for the first time, to our best knowledge.
摘要：
背景：Eales病是一种以视网膜静脉炎为特征的特发性周边视网膜血管病变，缺血,视网膜新生血管,和复发性玻璃体出血。但是CRAO是一个不寻常的演示。
方法：一名27岁的印度裔健康女护士醒来时右眼突然视力下降。视网膜中央动脉阻塞(CRAO),合并轻度视网膜中央静脉阻塞（CRVO），被诊断出来了.在连续三次高压氧治疗的第二次期间，她的视力迅速提高。一周后,她在同一只眼睛出现了周围性静脉炎。传染性，炎症，血液学病因被排除.除Mantoux结核菌素皮肤试验阳性外，系统评估正常。全身性类固醇治疗后，她的血管炎逐渐好转。两周后,左眼出现轻度视网膜静脉炎。排除其他疾病后诊断为Eales病。
结论：这是一个不寻常的Eales病病例，表现为CRAO合并轻度CRVO。这里首次报道了CRAO和Eales疾病的关联，以我们最好的知识。
方法：一名27岁的印度裔健康女护士醒来时右眼突然视力下降。视网膜中央动脉阻塞(CRAO),合并轻度视网膜中央静脉阻塞（CRVO），被诊断出来了.在连续三次高压氧治疗的第二次期间，她的视力迅速提高。一周后,她在同一只眼睛出现了周围性静脉炎。传染性，炎症，血液学病因被排除.除Mantoux结核菌素皮肤试验阳性外，系统评估正常。全身性类固醇治疗后，她的血管炎逐渐好转。两周后,左眼出现轻度视网膜静脉炎。排除其他疾病后诊断为Eales病。
结论：这是一个不寻常的Eales病病例，表现为CRAO合并轻度CRVO。这里首次报道了CRAO和Eales疾病的关联，以我们最好的知识。
