双侧全层黄斑裂孔合并匐行性脉络膜炎。
Bilateral full thickness macular holes in association with serpiginous choroiditis.
机构信息
Tennent Institute of Ophthalmology, Gartnavel General Hospital, Glasgow, UK.
出版信息
Ocul Immunol Inflamm. 2009 Sep-Oct;17(5):328-9. doi: 10.3109/09273940903105128.
PURPOSE
To report serpiginous choroiditis associated with full thickness macular holes (FTMH).
DESIGN
Interventional case report.
METHODS
A 58-year-old female with bilateral serpiginous choroiditis developed right-sided blurred vision and metamorphopsia. Ocular assessment, FFA, OCT, and right macular hole surgery were performed.
RESULTS
Preoperative visual acuity was 6/36 right, 6/9 left. Fundus assessment found bilateral geographic chorioretinal scarring, epiretinal membranes, right FTMH, and mild vitritis. OCT revealed bilateral FTMHs. Pars plana vitrectomy, membrane peel, and gas tamponade resulted in right macular hole closure, visual acuity improvement (6/18) and resolution of metamorphopsia.
CONCLUSIONS
Macular hole may be another posterior segment complication of serpiginous choroiditis.
目的
报告与全层黄斑孔（FTMH）相关的匐行性脉络膜炎。
设计
介入性病例报告。
方法
一位 58 岁女性双侧匐行性脉络膜炎患者出现右眼视力模糊和视物变形。进行了眼部评估、FFA、OCT 和右眼黄斑孔手术。
结果
术前右眼视力为 6/36，左眼视力为 6/9。眼底评估发现双侧地图状脉络膜视网膜瘢痕、视网膜前膜、右眼 FTMH 和轻度睫状体炎。OCT 显示双侧 FTMH。行标准经睫状体平坦部玻璃体切除术、膜剥离和气体填充，右眼黄斑孔闭合，视力提高（6/18），视物变形缓解。
结论
黄斑孔可能是匐行性脉络膜炎的另一种后部段并发症。
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