Hopena o ke kua retinal

ʻO ka retinal vein occlusion kahi paʻa o nā veins liʻiliʻi e lawe i ke koko mai ka retina. ʻO ka retina ka papa o nā kiko ma ke kua o ka maka i loko e hoʻohuli i nā kiʻi māmā i nā hōʻailona nerve a hoʻouna iā lākou i ka lolo.

Hoʻokomo pinepine ʻia ka retinal vein i ka paʻakikī ʻana o nā aʻa (atherosclerosis) a me ka hoʻokumu ʻana o kahi kōkuʻu koko.

ʻO ka pale ʻana o nā uaua liʻiliʻi (lālā vena a BRVO) i ka retina pinepine i nā wahi kahi i mānoanoa a paʻakikī ʻia e nā atherosclerosis keʻa a kau i ke kaomi ma kahi aʻa retina.

ʻO nā kumu pilikia no ka hoʻopili ʻana o ka retinal vein me:

• Atherosclerosis
• Diabetes
• Ke koko kiʻekiʻe (hypertension)
• ʻO nā kūlana maka ʻē aʻe, e like me glaucoma, edema macular, a i ʻole ka hemorrhage vitreous

Hoʻonui ka makaʻu o kēia mau maʻi me ka makahiki, no laila pinepine ka hopena o ka retinal vein i ka poʻe ʻelemākule.

Hiki ke pale i nā veins retinal i nā pilikia maka ʻē aʻe, e like me:

• ʻO Glaucoma (ke kiʻekiʻe o ka maka), i hoʻokumu ʻia e nā kīʻaha koko hou e ulu ana i ka ʻaoʻao mua o ka maka
• ʻO ka edema macular, i hoʻokumu ʻia e ka liu o ka wai i ka retina

Pākuʻi ʻia nā ʻōuli me ka pohō a me ka nalo ʻana o ka hihi ma nā mea āpau a ʻāpana paha o ka maka hoʻokahi.

ʻO nā hoʻāʻo e loiloi ai no ka hōʻea ʻana o ka ʻaʻa i loko:

• Hōʻike o ka retina ma hope o ka hoʻoulu ʻana i ka haumāna
• Fluorescein angiography
• Puʻe intraocular
• Pane reflex haumāna
• Hōʻike maka Refraction
• Kiʻi hou
• Nānā kukui ʻalā
• ʻO ka hoʻāʻo ʻana o ka hihi ʻaoʻao (nānā kahua ʻike maka)
• Hōʻike ʻike ʻike ʻike e ʻike i nā leka liʻiliʻi hiki iā ʻoe ke heluhelu ma ka pakuhi

Hiki i nā hoʻokolohua ʻē aʻe ke:

• Nā ho'āʻo koko no ka maʻi kō, ke kiʻekiʻe o ke kolesterol, a me nā pae triglyceride
• Nānā ke koko e nānā i kahi ʻōpala a i ʻole ke kō ʻana o ke koko (hyperviscosity) pilikia (i ka poʻe ma lalo o 40 mau makahiki)

E nānā pono ka mea mālama ola i nā wahi blockage no kekahi mau mahina. Lawe ʻia he 3 a ʻoi paha mau mahina no nā hopena ʻino e like me glaucoma e hoʻomohala ma hope o ka oklna.

He nui ka poʻe e loaʻa hou ka hihi, ʻoiai me ka ʻole o ka lāʻau. Eia nō naʻe, ʻaʻole ʻike iki ka hihi i ka maʻamau. ʻAʻohe ala e hoʻohuli a wehe paha i ka paʻa.

Pono ʻoe i ka lāʻau lapaʻau e pale ai i ka paʻa ʻana o kekahi i ka like a i ʻole ka maka ʻē aʻe.

• He mea nui ka mālama ʻana i ka maʻi diabetes, ke koko kiʻekiʻe, a me nā kiʻekiʻe o ke kō.
• Pono paha kekahi poʻe e lawe i ka aspirin a i ʻole nā ​​mea ʻokiʻoki koko.

ʻO ka mālama ʻana no nā pilikia o ka retinal vein occlusion e hoʻopili pū paha:

• Lapaʻau laser kukuna, inā aia ka edema macular.
• Nā inikua o ka anti-vascular endothelial factor factor (anti-VEGF) lāʻau i loko o ka maka. Hiki paha i kēia mau lāʻau lapaʻau ke pale i ka ulu ʻana o nā kīʻaha koko hou e hiki ai ke hana i ka glaucoma Ke aʻo ʻia nei kēia hana.
• Hoʻomaʻamaʻa laser e pale i ka ulu ʻana o nā kīʻaha koko hou ʻole e alakaʻi i ka glaucoma.

Hoʻololi ka hopena. ʻO ka poʻe me ka retinal vein retinal pinepine ʻike hou i ka ʻike pono.

He mea nui ka mālama pono ʻana i nā kūlana e like me ka edema macular a me ka glaucoma. Eia nō naʻe, ʻo ka loaʻa ʻana o kekahi o kēia mau pilikia e alakaʻi i kahi hopena maikaʻi ʻole.

Komo pū nā pilikia:

• Glaucoma
• ʻO ka pohihihi hapa a piha paha o ka hihi i ka maka i hoʻopilikia ʻia

Kāhea i kāu mea hāʻawi inā loaʻa koke ʻoe i ka blurring a i ʻole ka nalo ʻana o ka hihi.

ʻO Retinal vein occlusion kahi hōʻailona o kahi maʻi koko āpau (vascular) maʻi. ʻO nā ana i hoʻohana ʻia e pale aku ai i nā maʻi o ke kīʻaha koko e hōʻemi paha i ka makaʻu o ka retinal vein

Loaʻa kēia mau ana:

• ʻO ka ʻai ʻana i kahi papaʻai momona momona
• Ke kiʻi i ka hoʻoikaika kino maʻamau
• Mālama i kahi kaupaona kūpono
• ʻAʻole puhipaka

Hiki i ka Aspirin a i ʻole nā ​​mea lahilahi keʻa ke kōkua i ka pale ʻana i nā palaka i nā maka ʻē aʻe.

ʻO ke kaohi ʻana i ka maʻi kō e kōkua ai i ka pale ʻana i ka retinal vein.

ʻO ke kikowaena o ke aʻa retinal; CRVO; Lālā o ka retinal vein retinal; BRVO; Lilo ka hihiʻo - retinal vein url; ʻIke blurry - retinal vein occlusion

ʻO Bessette A, Kaiser PK. ʻO ka lālā o ka retinal veinina retinal. I: Schachat AP, Sadda SVR, Hinton DR, Wilkinson CP, Wiedemann P, eds. ʻO Ryan's Retina. ʻElua huaʻōlelo Piladelapia, PA: Elsevier; 2018: chap 56.

ʻO Desai SJ, Chen X, Heier JS. ʻO ka maʻi maʻi Venous o ka retina. I: Yanoff M, Duker JS, eds. Ophthalmology. 5th lā. Piladelapia, PA: Elsevier; 2019: chap 6.20.

Flaxel CJ, Adelman RA, Bailey ST, et al. Hoʻohālikelike ke ʻano o ka retinal vein i nā kumu hana. Ophthalmology. 2020; 127 (2): P288-P320. PMID: 31757503 pubmed.ncbi.nlm.nih.gov/31757503/.

Freund KB, Sarraf D, Mieler WF, Yanuzzi LA. Maʻi maʻi vina retina. I: Freund KB, Sarraf D, Mieler WF, Yannuzzi LA, eds. ʻO Retina Atlas. ʻElua ed. Piladelapia, PA: Elsevier; 2017: chap 6.

ʻO Guluma K, ʻo Lee JE. Ophthalmology. I: Nā paia RM, Hockberger RS, Gausche-Hill M, nā ʻaoʻao. ʻO Rosen's Emergency Medicine: Nā Manaʻo Manaʻo a me ka hana lapaʻau. 9th ed. Piladelapia, PA: Elsevier; 2018: chap 61.