光谱域光学相干断层扫描和血管造影在伴有全身皮质类固醇的双侧非孔源性视网膜脱离的中心性浆液性脉络膜视网膜病变中的发现。
Spectral domain optical coherence tomography and angiographic findings in central serous chorioretinopathy complicated by bilateral nonrhegmatogenous retinal detachment associated with systemic corticosteroids.
机构信息
Department of Ophthalmology, Federal University of São paulo, São Paulo, Brazil.
出版信息
Ocul Immunol Inflamm. 2009 Sep-Oct;17(5):316-8. doi: 10.3109/09273940903030888.
PURPOSE
To report spectral domain optical coherence tomography (OCT) and angiographic findings in exudative retinal detachment complicating central serous chorioretinopathy.
DESIGN
interventional case report.
METHODS
33-year old man with bilateral nonrhegmatogenous retinal detachment, misdiagnosed as uveitis, iatrogenically treated with systemic corticosteroids.
RESULTS
Discontinuation of corticotherapy led to anatomic and visual improvement. Fluorescein angiography demonstrated multiple leakage points; indocyanine green angiography disclosed large hyperfluorescent patches in the choroid and OCT demonstrated retinal detachment with dense subretinal deposits.
CONCLUSION
The recognition of this atypical presentation with a combination of opthalmoscopic, angiographic and OCT findings may avoid inappropriate diagnosis and treatment with corticosteroids.
目的
报告伴有中心性浆液性脉络膜视网膜病变的渗出性视网膜脱离的频域光相干断层扫描（OCT）和血管造影表现。
设计
介入性病例报告。
方法
33 岁男性，双侧非孔源性视网膜脱离，误诊为虹膜炎，接受全身皮质类固醇治疗。
结果
皮质激素治疗的停止导致解剖和视力改善。荧光素血管造影显示多处渗漏点；吲哚青绿血管造影显示脉络膜有大的高荧光斑，OCT 显示视网膜脱离伴密集的视网膜下沉积物。
结论
通过联合眼底镜、血管造影和 OCT 检查，认识到这种非典型表现，可以避免皮质类固醇的不当诊断和治疗。
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