Halhal M, D'hermies F, Berges O, Chauvaud D, Bertin S, Grateau G, Renard G
Service d'Ophtalmologie (Pr G. Renard), Hôtel-Dieu, 1, place du Parvis Notre-Dame, 75181 Paris Cedex 04.
J Fr Ophtalmol. 2001 May;24(5):505-8.
Uveal effusion exhibits various clinical presentations, some of which may lead to erroneous diagnosis and mimic a choroidal tumor. A 73-year-old female patient displayed a choroidal lesion with a tumoral appearance spontaneously affecting her right eye. Ultrasonography did not establish the diagnosis, leaving doubt for a tumor. In addition to the tumor - like lesion, a moderate inflammation was found in her right eye. The clinical course was favorable and one month after the initial examination, no fundus abnormalities were observed. The delay imposed by the MRI examination contributed to the lack of any active treatment. Apart from cases occurring postoperatively, the diagnosis of uveal effusion may sometimes be difficult to establish. In order to avoid enucleation and even if ultrasonography is helpful in reaching the correct diagnosis, it seems appropriate to wait and regularly follow up the patients when the diagnosis is not certain. The clinical course might be helpful to establish the diagnosis. Our case suggests that in pseudotumoral forms of uveal effusion, we should repeat clinical examination and ultrasonography in order to manage these patients appropriately.
葡萄膜渗漏有多种临床表现，其中一些可能导致误诊并酷似脉络膜肿瘤。一名73岁女性患者右眼自发出现一个有肿瘤外观的脉络膜病变。超声检查未能确诊，怀疑是肿瘤。除了肿瘤样病变外，其右眼还发现有中度炎症。临床病程良好，初次检查一个月后，未观察到眼底异常。MRI检查的延迟导致缺乏任何积极治疗。除了术后发生的病例外，葡萄膜渗漏的诊断有时可能难以确立。为了避免眼球摘除，即使超声检查有助于做出正确诊断，但当诊断不确定时，等待并定期随访患者似乎是合适的。临床病程可能有助于确立诊断。我们的病例表明，对于葡萄膜渗漏的假瘤形式，我们应重复临床检查和超声检查，以便对这些患者进行适当管理。
