Ординатура / Офтальмология / Английские материалы / Illustrated Tutorials in Ophthalmology Kanski, Bolton 2001
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FA of branch retinal artery occlusion
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Early masking |
Extreme delay of arterial |
Late staining of arterial walls |
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Cilioretinal artery occlusion
•Cilioretinal artery derived from posterior ciliary circulation
•Present in about 30% of individuals
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Isolated |
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Combined with |
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Combined with CRVO |
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anterior ischaemic |
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optic neuropathy |
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In young individuals with |
• Guarded prognosis |
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Elderly patients with |
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a systemic vasculitis |
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giant cell arteritis |
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Usually good prognosis |
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Very poor prognosis |
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Central retinal artery occlusion ( CRAO )
• VA < 6/60
• APD - marked
• Retinal whitening
• ‘Cherry-red spot’ at macula
• Arteriolar and venular narrowing
• Sludging and segmentation of blood column (cattle-trucking)
• Very poor prognosis
FA of central retinal artery occlusion
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Early filling of cilioretinal |
Non-filling of other vessels |
Late staining of vessel walls |
artery |
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Hypertensive retinopathy
Arteriolar constriction
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Focal |
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Generalized |
Arteriolosclerosis (A-V changes) |
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Extravascular signs |
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Flame-shaped retinal |
Cotton-wool spots and |
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Disc oedema |
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haemorrhages |
macular star |
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Grading of arteriolosclerosis
Ocular associations of hypertension
Retinal vein occlusion |
Retinal artery macroaneurysm |
Anterior ischaemic optic neuropathy |
Ocular motor nerve palsies |
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