Department of Ophthalmology, Seoul National University College of Medicine, Seoul National University Bundang Hospital, Seongnam, Korea.
Ocul Immunol Inflamm. 2011 Apr;19(2):121-3. doi: 10.3109/09273948.2010.530734.
To report a patient presenting with unilateral xanthopsia who was diagnosed as having retinal vasculitis with pulmonary tuberculosis.
A case report.
A 20-year-old man presented with xanthopsia in the right eye. Fundus examination revealed multiple retinal hemorrhages, vascular sheathing, and a yellowish retina.
He was diagnosed as having retinal phlebitis with pulmonary tuberculosis by chest x-ray and computerized tomography scans and treated with anti-tuberculosis medications. After treatment, he described clearance of xanthopsia, and fundus examination also showed normal coloration.
Xanthopsia may be a sign of retinal vasculitis associated with tuberculosis. Ophthalmologists should suspect retinal vasculitis when patient complains of xanthopsia.
报告一例单侧黄视患者，该患者被诊断为伴有肺结核的视网膜血管炎。
病例报告。
一名 20 岁男性出现右眼黄视。眼底检查显示多处视网膜出血、血管鞘和黄色视网膜。
胸部 X 线和计算机断层扫描显示该患者患有肺结核性视网膜静脉炎，并用抗结核药物进行治疗。治疗后，他描述黄视消失，眼底检查也显示正常颜色。
黄视可能是与结核相关的视网膜血管炎的一个征象。当患者抱怨黄视时，眼科医生应怀疑视网膜血管炎。
