Roe Richard, Branco Bruno Castelo, Cunningham Emmett T
Department of Ophthalmology, California Pacific Medical Center, San Francisco, California, USA.
Ocul Immunol Inflamm. 2008 May-Jun;16(3):107-8. doi: 10.1080/09273940802023794.
To describe a patient with HLA-B27-associated anterior uveitis who developed hypotony maculopathy.
Visual acuity, biomicroscopic slit-lamp examination, and fluorescein angiogram.
Following an episode of acute anterior nongranulomatous HLA-B27-associated uveitis, the patient developed decreased vision, choroidal folds, optic disc edema, and a serous exudative detachment characteristic of hypotony maculopathy. The intraocular pressure was noted to be 4 mmHg. Following therapy with topical 1% prednisolone acetate and 5% homatropine, both the intraocular pressure and retinal anatomy normalized.
Hypotony maculopathy may be seen in patients with HLA-B27-associated uveitis and should be considered as a cause of vision loss in patients with this condition.
描述一名患有HLA - B27相关性前葡萄膜炎并发生低眼压性黄斑病变的患者。
视力、生物显微镜裂隙灯检查和荧光素血管造影。
在一次急性非肉芽肿性HLA - B27相关性前葡萄膜炎发作后，患者出现视力下降、脉络膜皱褶、视盘水肿以及低眼压性黄斑病变特征性的浆液性渗出性视网膜脱离。眼压被记录为4 mmHg。在用局部1%醋酸泼尼松龙和5%后马托品治疗后，眼压和视网膜解剖结构均恢复正常。
低眼压性黄斑病变可见于HLA - B27相关性葡萄膜炎患者，应被视为该疾病患者视力丧失的一个原因。
