Wake up
I lost my sight in one eye
And it also happened in
A post-95 young mother
What's going on?
The post-95 mother lost sight in her right eye overnight
It's a pity to miss the best time to rescue
Recently, a post-95 mother in Guiyang, Guizhou Province lost her sight in her right eye overnight, and her husband accompanied her to seek medical treatment everywhere, and was finally diagnosed with central retinal artery blockage. Unfortunately, the best time to rescue has been missed.
It turned out that the woman did not seek medical attention at that time, and chose to take a break to see the situation first.
The doctor said that there is a golden time for the disease to be saved, depending on the specific situation, sometimes within 90 minutes, sometimes within 6 hours, 12 hours. The woman underwent a full body examination and the results showed that there was no abnormality in other parts of her body.
Blockage of the central retinal artery
What is it?
Central retinal artery occlusion, also known as "eye stroke", is when the central retinal artery is partially or completely blocked. The retina is like a film negative for a camera, which converts the light that shines into the eye into electrical signals that are transmitted to the brain through the optic nerve so that we can see what is around us.
The retina is extremely sensitive to local hypoxia, and fresh arterial blood cannot enter and nourish the retina, resulting in a painless, sudden loss or loss of vision. This vision loss is not relieved after a short rest.
Retinal artery occlusion of the fundus:
The posterior polar retina is grayish, edematous, and relatively red in the macula
i.e. cherry red dots
What factors
Will it trigger a "stroke in the eye"?
Central retinal artery occlusion is more common in older people. Its occurrence is closely related to systemic diseases such as hypertension, carotid artery occlusion, diabetes, heart valve disease, etc. The elasticity of blood vessels in the elderly is reduced, the tube wall is hardened, and the elderly often have various underlying diseases, which can easily suffer from "eye stroke".
In addition to age, there are many factors that are closely related to the onset of central retinal artery occlusion.
Abrupt from high temperature to low temperature:
For example, in the winter, you can go out of a warm room and suddenly be exposed to cold air, or in the summer you can go from a hot outdoor to a low-temperature air-conditioned room.
People with high blood pressure:
Hypertension is the most common risk factor, with hypertension associated with approximately 67% of patients with central retinal artery occlusion. High blood pressure can lead to damage to the endothelium of blood vessels, and the plaque formed will rupture and fall off in the blood vessels, which may block the retinal blood vessels and cause "eye stroke".
People with hyperlipidemia:
People with hyperlipidemia have high blood viscosity, and lipid deposits in blood vessels can cause the formation of blood clots.
Smokers:
Smoking can cause vasoconstriction and spasm, and long-term heavy smoking may cause blood vessel embolism, which can cause "eye stroke".
People who have been overusing their eyes for a long time:
People who need long-term computer office and irregular life and rest have long-term tension and high pressure on their eyes, and are also prone to eye diseases.
"Eye stroke" attacks
How can I help myself and treat myself?
Sudden loss of vision in one eye, immediate or complete loss of vision, only the number of fingers or the perception of light can be seen. Some patients have had a transient amaurosis (i.e., temporary loss of vision, generally about 1~2 minutes), which can be relieved after a few minutes. After several repeated episodes, the patient will suddenly have severe vision loss.
When the above symptoms of "eye stroke" appear, even if the symptoms of blurred vision are temporarily relieved, do not hesitate to go to the hospital immediately. As an ophthalmic emergency, the irreversible damage to the retinal photoreceptor tissue mostly occurs after retinal ischemia and hypoxia is greater than 90 minutes, and 90 minutes is the golden treatment time for central retinal artery occlusion. The duration of the platinum treatment is 6 hours, preferably no more than 24 hours.
Before arriving at the hospital, you can immediately carry out some self-help measures, such as massaging the eyeballs with your fingers, compression massage for 10 seconds, suddenly releasing your fingers for 5 seconds, and so on for about 10 times, each massage for 15 minutes, or patients with conditions can also take nitroglycerin tablets sublingually. At the same time, you should relax and not be too nervous, and then rush to the nearest hospital for emergency ophthalmology treatment as soon as possible.
"Eye stroke"
How can it be prevented?
To prevent "eye stroke", it is necessary to address risk factors such as hypertension, dyslipidemia, diabetes, obesity and atherosclerosis.
Implement it in daily life: control weight or lose weight, adjust diet, maintain psychological balance, quit smoking and limit alcohol, etc. Avoid overusing your eyes, don't stay up late, and have regular eye and fundus examinations.
Pay attention to the combination of work and rest, participate in moderate physical exercise, such as jogging, walking, tai chi, often go outdoors, do not squat, sedent, lie down for a long time, in order to prevent blood flow stagnation and blood vessel blockage.
Maintain an optimistic mood to prevent sudden spasm of blood vessels caused by emotional agitation and mental trauma, causing blockage of the central retinal artery.
Information sources: People's Daily Science Popularization, Beijing Daily, Yangtze Evening News, the 940th Hospital of the Joint Logistics Support Force, Health Times
Overall integration: Luohu release
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