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两例 H1N1 流感疫苗接种后渗出性视网膜脱离伴葡萄膜炎。

Two cases of exudative retina detachment and uveitis following H1N1 influenza vaccination.

机构信息

Department of Ophthalmology, Peking University People's Hospital, Key Laboratory of Vision Loss and Restoration, Ministry of Education, Beijing 100044, China.

出版信息

Chin Med J (Engl). 2011 Nov;124(22):3838-40.

PMID:22340253
Abstract

Uveitis was a rare adverse event of vaccination. We met two cases of acute uveitis with exudative retinal detachment following vaccination of H1N1 influenza. Case 1 was a 10-year-old boy who was admitted for bilateral blurred vision at 10 days after vaccination of H1N1 influenza. Vitreous opacity was obvious in both eyes. Broad exudative retinal detachment was observed in the right eye. Case 2 was a 47-year-old female who suffered from an acute high fever at 2 days after the vaccination of H1N1 influenza. Later, she encountered bilateral headache and decreasing vision. In both eyes, mutton fat keratic precipitates, positive Tyndall phenomenon, congestion of optic disc and exudative retinal detachment were observed.

摘要

虹膜炎是疫苗接种的罕见不良反应事件。我们遇到两例甲型 H1N1 流感疫苗接种后发生的急性虹膜炎伴渗出性视网膜脱离。病例 1 为 10 岁男孩,于接种甲型 H1N1 流感疫苗后 10 天因双眼视力模糊就诊。双眼玻璃体混浊明显,右眼可见广泛渗出性视网膜脱离。病例 2 为 47 岁女性,于接种甲型 H1N1 流感疫苗后 2 天突发高热,之后出现双侧头痛和视力下降,双眼出现羊脂状角膜后沉着物,Tyndall 征阳性,视盘充血,渗出性视网膜脱离。

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