Iida T, Spaide R F, Negrao S G, Carvalho C A, Yannuzzi L A
LuEsther T. Mertz Retinal Research Center, Manhattan Eye, Ear, and Throat Hospital, New York, NY, USA.
Am J Ophthalmol. 2001 Sep;132(3):423-5. doi: 10.1016/s0002-9394(01)00970-9.
To report three patients who developed central serous chorioretinopathy after epidural corticosteroid injection for treatment of back pain.
Interventional case series.
Three men, aged 73, 52, and 73 years, presented with bilateral central serous chorioretinopathy after corticosteroid injection in the epidural space for treatment of back pain. In all three cases, we did not initially elicit the history of corticosteroid use.
Two of the three patients, aged 52 and 73 years, had diffuse retinal pigment epitheliopathy and one, aged 73 years, had classic central serous chorioretinopathy. Two patients had a spontaneous resolution of the subretinal fluid in both eyes. One patient had laser photocoagulation in both eyes but continued to have diffuse leakage in one eye.
A careful history to determine corticosteroid use, including possible intrajoint and epidural injection, should be performed in older people with serous detachment of the macula, particularly when bilateral.
报告3例因硬膜外注射皮质类固醇治疗背痛后发生中心性浆液性脉络膜视网膜病变的患者。
干预性病例系列。
3名男性，年龄分别为73岁、52岁和73岁，在硬膜外间隙注射皮质类固醇治疗背痛后出现双侧中心性浆液性脉络膜视网膜病变。在所有3例病例中，我们最初均未引出皮质类固醇使用史。
3例患者中，2例年龄分别为52岁和73岁，患有弥漫性视网膜色素上皮病变，1例73岁患者患有典型的中心性浆液性脉络膜视网膜病变。2例患者双眼视网膜下液自发消退。1例患者双眼接受了激光光凝治疗，但一只眼仍持续存在弥漫性渗漏。
对于患有黄斑浆液性脱离的老年人，尤其是双侧病变者，应仔细询问病史以确定皮质类固醇的使用情况，包括可能的关节内和硬膜外注射。
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