急性视网膜坏死患者发生中心性浆液性脉络膜视网膜病变的罕见病例。
An unusual case of central serous chorioretinopathy in a patient with acute retinal necrosis.
作者信息
Stuebiger Nicole, Biester Sabine, Deuter Christoph M E, Zierhut Manfred
机构信息
Department I, Department of Anterior and Posterior Eye Segment, University Eye Hospital Tuebingen, Tuebingen, Germany.
出版信息
Ocul Immunol Inflamm. 2008 May-Jun;16(3):109-11. doi: 10.1080/09273940802056299.
PURPOSE
In acute retinal necrosis, which is caused by herpes virus, urgent treatment is essential.
DESIGN AND METHODS
Here we present a 47 years old male patient, who developed an acute retinal necrosis in his left eye. Therapy was initiated with systemic aciclovir and corticosteroids.
RESULTS
During the course of disease our patient achieved improvement of acute retinal necrosis but he developed central serous chorioretinopathy.
CONCLUSIONS
The development of central serous chorioretinopathy in our patient was most probably due to the systemic corticosteroids he received. Especially in patients with an intraocular inflammation this diagnosis may lead to severe differential diagnostic problems.
目的
在由疱疹病毒引起的急性视网膜坏死中，紧急治疗至关重要。
设计与方法
在此，我们介绍一名47岁男性患者，其左眼发生急性视网膜坏死。治疗开始时使用全身阿昔洛韦和皮质类固醇。
结果
在疾病过程中，我们的患者急性视网膜坏死有所改善，但出现了中心性浆液性脉络膜视网膜病变。
结论
我们患者中心性浆液性脉络膜视网膜病变的发生很可能归因于他接受的全身皮质类固醇治疗。尤其是在患有眼内炎症的患者中，这种诊断可能会导致严重的鉴别诊断问题。
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