Damasceno Nadyr, Damasceno Eduardo, Souza Eduardo
Department of Ophthalmology, Universidade Federal Fluminense, Niterói, RJ, Brazil.
Clin Ophthalmol. 2010 Dec 16;5:3-4. doi: 10.2147/OPTH.S15273.
The authors report an uncommon case of unilateral rubella retinopathy in an adult patient, described for the first time in medical literature. A 28-year-old healthy white man acquired a case of vasculitis and retinitis on his right eye with sudden vision loss, preceded by an acute viral disease (best correct visual acuity was 20/200). Serology examinations on several viral diseases reveled positive signs to rubella. The treatment was based on corticoids therapy due to macular commitment with final visual acuity of 20/60. Serology concluded rubella etiology, with positive levels in the acute initial stage of viral infection, even during viral retinopathy.
作者报告了一例成年患者单侧风疹性视网膜病变的罕见病例,这在医学文献中尚属首次描述。一名28岁健康的白人男性右眼出现血管炎和视网膜炎并伴有突然视力丧失,在此之前有过急性病毒感染(最佳矫正视力为20/200)。对多种病毒疾病的血清学检查显示风疹呈阳性迹象。由于黄斑受累,治疗基于皮质类固醇疗法,最终视力为20/60。血清学检查确定病因是风疹,在病毒感染的急性初期,甚至在病毒性视网膜病变期间,风疹水平均呈阳性。