目的:报告1例前部缺血性视神经病变(anterior ischemicoptic neuropathy,AION)并发视网膜分支动脉阻塞(branchretinal artery obstruction,BRAO)。方法:患者,女,42岁,因视力障碍进行如下眼科检查:眼底照相、荧光血管造影(fluorescent angiography,FAG)和视野测试。结果:第一次就诊时,患者视盘肿胀,动脉循环完整,发病1wk后,视网膜下支动脉开始萎缩并火焰状出血加剧。16mo后,视盘呈萎缩性改变,此外,发现视网膜下分支动脉血管影一条。结论:AION并发BRAO可造成动脉循环的机械性压迫。

AIM:To report a case of branch retinal artery obstruction(BRAO) complicated after anterior ischemic optic neuropathy(AION).METHODS:A 42-year-old woman who complained of visual disturbance was performed ophthalmological examinations such as fundus photography,fluorescent angiography(FAG) and visual field test.RESULTS:At first visit,disc swelling was noted and arterial circulation was intact,however,1 week after onset,the inferior branch retinal artery began to shrink and the flame hemorrhage intensified.Sixteen months later,the optic disc evidenced an atrophic change;additionally,a ghost vessel in the inferior branch retinal artery was found.CONCLUSION:We report a case of complications of BRAO arising after AION which caused the mechanical compression on the arterial circulation.

R774.1