Chong Chee-Foong, Yang David, Pham Thuan Q, Liu Henry
Dubbo Eye Centre, Dubbo, New South Wales, Australia.
BMJ Case Rep. 2012 Sep 3;2012:bcr2012006970. doi: 10.1136/bcr-2012-006970.
A 45-year-old Caucasian female with diagnosis of central serous chorioretinopathy (CSCR) did not improve on conventional observational approach. She was not willing to proceed with photocoagulation or photodynamic therapy. An unconventional approach of topical anti-inflammatory (ketorolac, dexamethasone and hydrocortisone) preparation was prescribed. The course of her CSCR responded well on this unconventional treatment, but relapsed on cessation or tapering of treatment. After 18 weeks of treatment with a gradual taper, her condition resolved. The present case highlights an alternative but unconventional treatment of CSCR with prolonged use of anti-inflammatories.
一名被诊断为中心性浆液性脉络膜视网膜病变(CSCR)的45岁白种女性,采用传统观察方法治疗效果不佳。她不愿接受光凝或光动力疗法。于是为她开了一种非传统的局部抗炎制剂(酮咯酸、地塞米松和氢化可的松)。她的CSCR病程对这种非传统治疗反应良好,但在治疗停止或减量时复发。经过18周逐渐减量的治疗后,她的病情得到缓解。本病例突出了一种使用抗炎药物长期治疗CSCR的替代但非传统的方法。