一例因 23G 玻璃体切割术反复发作而出现眼外症状和结膜色素沉着的交感性眼炎。

A case of sympathetic ophthalmia presenting with extraocular symptoms and conjunctival pigmentation after repeated 23-gauge vitrectomy.

机构信息

Department of Ophthalmology, Seoul National University College of Medicine, Seoul National University Hospital, Seoul, Korea.

出版信息

Ocul Immunol Inflamm. 2010 Aug;18(4):265-7. doi: 10.3109/09273941003778793.

DOI:10.3109/09273941003778793

PMID:20662657

Abstract

PURPOSE

To report a case of sympathetic ophthalmia presenting with extraocular symptoms after 23-gauge sutureless vitrectomy.

METHODS

Observational case report.

RESULTS

A 29-year-old woman underwent 23-gauge sutureless vitrectomy for spontaneous rhegmatogenous retinal detachment in the right eye. After vitrectomy, dense conjunctival pigmentations developed around the sclerotomy sites. One month after the second vitrectomy for a recurred retinal detachment, she presented with decreased visual acuity and metamorphopsia in both eyes, headache, tinnitus, and facial swelling. She was diagnosed with sympathetic ophthamia and treated with oral prednisolone and cyclosporine. Her visual acuity and symptoms improved after treatment.

CONCLUSION

Sympathetic ophthalmia can occur after 23-gauge sutureless vitrectomy and conjunctival pigmentation may be the preceding sign.

摘要

目的

报告一例 23 号auge 无缝线玻璃体切除术后出现眼外症状的交感眼炎病例。

方法

观察性病例报告。

结果

一名 29 岁女性因右眼自发孔源性视网膜脱离接受 23 号auge 无缝线玻璃体切除术。玻璃体切除术后，巩膜穿刺部位周围出现密集的结膜色素沉着。第二次玻璃体切除治疗复发性视网膜脱离后 1 个月，她出现双眼视力下降和视物变形、头痛、耳鸣和面部肿胀。她被诊断为交感眼炎，并接受了口服泼尼松龙和环孢素治疗。治疗后，她的视力和症状均有所改善。