거짓비늘증후군에 동반된 단독 섬모체망막동맥폐쇄 1예 = Isolated Cilioretinal Artery Occlusion in Pseudoexfoliation Syndrome : A Case Report

다국어 초록 (Multilingual Abstract)

Purpose: To report a case of isolated cilioretinal artery occlusion associated with pseudoexfoliation syndrome. Methods: A 66-year-old female presented with acute vision loss of the right eye. Three months prior, she had been diagnosed as having pseudoexfoliation glaucoma of both eyes, and the intraocular pressure of both eyes had been well-controlled with topical medication. Results: The presenting visual acuity in her right eye was 20/100. Fundus examinations showed sectoral retinal whitening on superior macula. Fluorescein angiography revealed delayed filling of the cilioretinal artery, consistent with cilioretinal artery occlusion. No significant findings were identified by carotid doppler examination or echocardiography. After 8 weeks, retinal changes were completely resolved with improvement of her right vision to 20/25. Conclusions: Isolated cilioretinal artery occlusion may develop as an intraocular manifestation of pseudoexfoliation syndrome.

참고문헌 (Reference)

1 "Shields'textbook of glaucoma" Lippingcott Williams & Wilkins 272-287, 2005

2 "Selective upregulation of A3 adenosine receptor in eyes with pseudoexfoliation syndrome and glaucoma" 46 : 2023-2034, 2005

3 "Retinal artery obstruction" Mosby 2001

4 "Pseudoexfoliation:epidemiology,clinical and scanning electron microscopic study" 188 : 141-7, 1984

5 "Pseudoexfoliation syndrome in eyes with ischemic central retinal vein occlusion:a histopathologic and electron microscopic study" 79 : 476-478, 2001

6 "Pseudoexfoliation syndrome for the comprehensive ophthalmologist:intraocular and systemic manifestations" 105 : 951-968, 1998

7 "Pseudoexfoliation syndrome and aneurysms of the abdominal aorta" 357 : 359-360, 2001

8 "Occurrence of pseudoexfoliation material in parabulbar structures in pseudoexfoliation syndrome" 69 : 124-30, 1991

9 "Matrix metalloproteinases and their inhibitors in aqueous humor of patients with pseudoexfoliation syndrome/glaucoma and primary open-angle glaucoma" 44 : 1117-1125, 2003

10 "Long-term prognosis of visual field in glaucoma simplex and glaucoma capsular" 63 : 418-23, 1985

11 "Homocystein and nitric oxide levels in plasma of patients with pseudoexfoliation syndrome,pseudoexfoliation glaucoma,and primary open-angle glaucoma" 243 : 677-683, 2005

12 "Generalized transluminance of the iris and the frequency of the pseudoexfoliation syndrome in the eyes of transient ischemic attack patients" 100 : 352-5, 1993

13 "Familial occurrence of pseudoexfoliation in Canada" 34 : 257-265, 1999

14 "Exfoliation syndrome in enucleated haemorrhagic and absolute glaucoma" 65 : 320-2, 1987

15 "Exfoliation (pseudoexfoliation) syndrome: toward a new understanding" 79 : 213-217, 2001

16 "Elevated aqueous humor tissue inhibitor of matrix metalloproteinase-1,and connective tissue growth factor in pseudoexfoliation syndrome" 89 : 169-173, 2005

17 "Association of pseudoexfoliation syndrome with increased vascular risk" 124 : 685-687, 1997

18 "Anterior chamber hypoxia and iris vasculopathy in pseudoexfoliation syndrome" 3 : 148-53, 1994

19 "A study of the cilioretinal artery in Korean" 22 : 363-6, 1981