猫抓病中的黄斑裂孔
Macular hole in cat scratch disease.
作者信息
Albini Thomas A, Lakhanpal Rohit R, Foroozan Rod, Holz Eric R
机构信息
Baylor College of Medicine, Department of Ophthalmology, Houston, TX 77030, USA.
出版信息
Am J Ophthalmol. 2005 Jul;140(1):149-51. doi: 10.1016/j.ajo.2004.12.082.
PURPOSE
To report the development of a macular hole as a complication of cat scratch disease.
DESIGN
Case report.
METHODS
A 10-year-old girl was seen with unilateral neuroretinitis from serologically confirmed cat scratch disease. Twelve days later, she developed a macular hole in the involved eye. Fundus photography and optical coherence tomography (OCT) were obtained at presentation and after the development of a macular hole.
RESULTS
Fundus photography and OCT on presentation revealed a nasal neurosensory detachment and multiple inflammatory foci throughout the macula, including a subfoveal lesion. Fundus photography and OCT 12 days later revealed the development of a partial posterior vitreous detachment and a full thickness macular hole.
CONCLUSIONS
Macular hole should be included among posterior segment complications of cat scratch disease. In this case, the macular hole was associated with partial vitreous detachment and a preexisting subfoveal lesion, likely representing an inflammatory focus.
目的
报告一例作为猫抓病并发症的黄斑裂孔的发生情况。
设计
病例报告。
方法
一名10岁女孩因血清学确诊的猫抓病出现单侧神经视网膜炎。12天后，患眼出现黄斑裂孔。在初诊时以及黄斑裂孔出现后均进行了眼底照相和光学相干断层扫描（OCT）检查。
结果
初诊时的眼底照相和OCT显示鼻侧神经感觉层脱离，黄斑区有多个炎性病灶，包括黄斑中心凹下病变。12天后的眼底照相和OCT显示出现了部分玻璃体后脱离和全层黄斑裂孔。
结论
黄斑裂孔应被纳入猫抓病的眼后段并发症之中。在本病例中，黄斑裂孔与部分玻璃体脱离以及先前存在的黄斑中心凹下病变有关，该病变可能是一个炎性病灶。
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