目的评价对视网膜中央动脉阻塞(centralretinalarteryocclusion,CRAO)7例7眼采用介入溶栓的疗效。方法导管介入颈内动脉(internalcarotidartery,ICA)或眼动脉(ophthalmicartery,OA)行造影后,用尿激酶10~30万u直接灌注行溶栓治疗。结果7眼术后视力均明显提高,术中及术后无并发症发生,荧光造影示视网膜动脉再通。结论介入溶栓是治疗CRAO的有效方法,视力恢复与阻塞部位、程度、时间有关。 Objective To evaluate the efficacy of interventional thrombolysis in 7 eyes of 7 patients with central retinallacrimation occlusion (CRAO). Methods The catheters were infused into the thoracic cavity of 10 ~ 300,000 u.U.U.by thrombolysis after ICA or ophthalmic artery (OA) angiography. Results The postoperative visual acuity was significantly improved in 7 eyes. No complications occurred during or after surgery. Fluorescent angiography showed recanalization of retinal artery. Conclusion Interventional thrombolysis is an effective method for the treatment of CRAO. Visual acuity recovery is related to the site, degree and time of occlusion.