臨牀透析 Vol.14 No.13(6)


特集名 透析患者の眼疾患
題名 網膜中心静脈閉塞症・網膜中心静脈分枝閉塞症
発刊年月 1998年 11月
著者 高塚 忠宏 虎の門病院眼科
【 要旨 】 網膜静脈閉塞症は,閉塞する部位で網膜中心静脈閉塞症と網膜中心静脈分枝閉塞症とに分けられ,網膜中心静脈分枝閉塞症の発生頻度が高い.網膜中心静脈閉塞症はさらに,静脈うっ血性網膜症と出血性網膜症とに分類される.血液透析治療を受けている症例の網膜静脈閉塞症の発生頻度は非透析患者の発生頻度より高く,約3%である.自験例では網膜静脈閉塞症を発症した全例で腎性貧血の治療にエリスロポエチンを使用していた.治療としては血栓溶解などを目的とした薬物治療に加え,無血管領域の広い症例では早期のレーザー治療が必要である.
Theme Ocular Disease in Hemodialysis Patients
Title Central retinal vein occlusion, Branch retinal vein occlusion
Author Tadahiro Kohzuka Department of Ophthalmology, Toranomon Hospital
[ Summary ] Retinal vein occlusionis classified into two categories. The first being central retinal vein occlusion and the second being branch retinal vein occlusion determined by the portion obstructed. The frequency of retinal branch vein occlusion is higher than that of central retinal vein occlusion. Central retinal vein occlusion is classified into the categories of venous stasis retinopathy and hemorrhagic retinopathy. The frequency of retinal vein occlusion in patients receiving hemodialysis treatment (about 3%) is higher than that of non-hemodialitic patients. In our study, all hemodialitic patients with retinal vein occlusion, were treated with erythropoietin for the renal ischemia. Additional medical treatment for thrombolysis, with early laser treatment of non-perfused retinas is necessary.
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