Vela José I, Roselló Noemí, Díaz-Cascajosa Jesús, Crespí Jaume, Buil José A
Department of Ophthalmology, Hospital de Sant Pau, Barcelona, Spain.
BMJ Case Rep. 2010 Nov 5;2010:bcr0120102648. doi: 10.1136/bcr.01.2010.2648.
To report a case of slowly progressive traction and rhegmatogenous retinal detachment after successfully managed candida chorioretinitis. A 44-year-old immunocompromised woman was treated with voriconazole for fungal chorioretinitis. Six months after onset she developed a combined retinal detachment. Slow progression of retinal detachment was observed and vitrectomy was performed. The macular area remained attached and visual acuity was maintained. Ophthalmologists should be aware of this unusual complication after the resolution of active candida chorioretinitis.
报告一例念珠菌性脉络膜视网膜炎成功治疗后发生的缓慢进展性牵拉性和孔源性视网膜脱离病例。一名44岁的免疫功能低下女性因真菌性脉络膜视网膜炎接受伏立康唑治疗。发病6个月后,她出现了视网膜脱离合并症。观察到视网膜脱离缓慢进展,遂行玻璃体切除术。黄斑区保持附着,视力得以维持。眼科医生应意识到活动性念珠菌性脉络膜视网膜炎消退后会出现这种不寻常的并发症。