Department of Uvea and Vitreo Retinal Services, Sankara Nethralaya, Chennai, India.
Ocul Immunol Inflamm. 2010 Dec;18(6):457-8. doi: 10.3109/09273948.2010.507129. Epub 2010 Sep 16.
To report a case of fungal scleritis associated with exudative retinal detachment.
A rare case report.
Nonresolving fungal scleritis mimicking noninfective scleritis was treated with systemic and topical antifungals and low topical steroids after diagnosis was established on scleral scraping. Even after complete resolution of scleritis, exudative retinal detachment persisted.
The patient was advised of a possible need to undergo vitreo retinal surgery if exudative retinal detachment persisted for more than a month after complete resolution of the scleritis component.
Infective scleritis must be ruled out in cases of longstanding scleritis not responding to immunosuppressives.
报告一例真菌性巩膜炎伴渗出性视网膜脱离。
罕见病例报告。
在巩膜刮片确诊后，对疑似非感染性巩膜炎的迁延不愈的真菌性巩膜炎，采用全身和局部抗真菌药物及低剂量局部皮质类固醇进行治疗。即使在巩膜炎完全消退后，渗出性视网膜脱离仍持续存在。
如果在巩膜炎完全消退后超过 1 个月仍存在渗出性视网膜脱离，建议患者可能需要进行玻璃体视网膜手术。
对于迁延不愈的巩膜炎，如果免疫抑制剂治疗无效，必须排除感染性巩膜炎。
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