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早在1917年,临床病理学的研究已提出视网膜动脉硬化与大血管的动脉粥样硬化或大脑血管病变之间的关系。以后Wagener等描述了视网膜小动脉的特异改变,系长期或严重的全身性高血压的后果。此结论在冠状动脉粥样硬化患者临床和血管造影方面得到证实。随后证明发生结膜微血管系统的改变。
As early as 1917, clinical pathology studies have suggested a relationship between retinal arteriosclerosis and macrovascular atherosclerosis or cerebrovascular disease. Later Wagener et al. Described the specific changes of the retinal arterioles, the consequences of long-term or severe systemic hypertension. This conclusion is confirmed in the clinical and angiographic aspects of coronary atherosclerosis. Subsequent changes in the conjunctival microvasculature were demonstrated.