Sato Yui, Takeda Muneyasu, Imaizumi Hiroko, Okushiba Utako, Ogino Tetsuo, Suzuki Yasushi
Department of Ophthalmology, Sapporo City General Hospital, Japan.
Nippon Ganka Gakkai Zasshi. 2008 Apr;112(4):389-97.
We treated a patient with multifocal choroiditis (MFC) associated with serpiginous choroiditis and choroidal neovascularization (CNV).
In a 27-year-old woman whose left eye showed serpiginous choroiditis near the optic disc and multiple irregular chorioretinal scars and exudates in peripheral and near-peripheral zones, fluorescein angiography demonstrated diffusely scattered hyperfluorescent dots and late leakage from retinal vessels. The lesion near the optic disc showed hypofluorescence in the early venous phase, and hyperfluorescence in the late phase. Sub-Tenon injection of triamcinolone acetonide did not effectively treat the CNV secondary to serpiginous choroiditis, but direct laser photocoagulation was successful, achieving improved visual acuity.
We suggest that this patient's MFC and serpiginous choroiditis represented a single process rather than independent events. With lesions at the posterior pole, CNV developed secondarily. In this case, direct laser photocoagulation proved useful.
我们治疗了一名患有多灶性脉络膜炎（MFC）并伴有匐行性脉络膜炎和脉络膜新生血管（CNV）的患者。
一名27岁女性，左眼视盘附近出现匐行性脉络膜炎，周边和近周边区域有多个不规则脉络膜视网膜瘢痕和渗出物，荧光素血管造影显示有散在的高荧光点以及视网膜血管的晚期渗漏。视盘附近的病变在静脉期早期表现为低荧光，晚期为高荧光。球后注射曲安奈德对匐行性脉络膜炎继发的CNV治疗无效，但直接激光光凝治疗成功，视力得到改善。
我们认为该患者的MFC和匐行性脉络膜炎是一个单一过程而非独立事件。后极部出现病变后，继发了CNV。在该病例中，直接激光光凝治疗被证明是有效的。
