McGrath Emer, Harney Fiona, Kinsella Frank
Department of Medicine, University College Hospital, Galway, Ireland.
BMJ Case Rep. 2010 Sep 20;2010:bcr0520103044. doi: 10.1136/bcr.05.2010.3044.
This case report presents the ophthalmic features and complications of a 56-year-old Caucasian woman with familial tumoral calcinosis. She presented to our ophthalmology clinic with a 3-month history of blurring of her vision. She had been diagnosed 14 years earlier with familial tumoral calcinosis. Ophthalmological examination revealed calcific depositions on the eyelid margins, perilimbal calcific deposits and angioid streaks. An optical coherence tomography scan of the left eye revealed a choroidal neovascular membrane. Deterioration in vision occurred secondary to subretinal haemorrhage, resulting from the angioid streak. The patient was treated with a series of three intravitreal ranibizumab injections to her left eye, which led to an improvement in her visual acuity (VA). The patient is being closely followed up with monthly appointments, and to date, after 6 months of follow-up, there has been no further deterioration in her VA or reactivation of the choroidal neovascular membrane.
本病例报告介绍了一名患有家族性肿瘤性钙化的56岁白种女性的眼科特征及并发症。她因视力模糊3个月前来我们眼科门诊就诊。14年前她被诊断为家族性肿瘤性钙化。眼科检查发现眼睑边缘有钙化沉积、角膜缘钙化沉积及血管样条纹。左眼光学相干断层扫描显示脉络膜新生血管膜。视力下降继发于血管样条纹导致的视网膜下出血。该患者接受了左眼三次玻璃体内注射雷珠单抗治疗,视力得到改善。患者每月定期复诊接受密切随访,截至目前,随访6个月后,其视力未进一步下降,脉络膜新生血管膜也未复发。