一名复发性前房积血且疑似幼年性黄色肉芽肿患儿的虹膜表面膜的光学相干断层扫描特征
Optical coherence tomography characteristics of epi-iridic membrane in a child with recurrent hyphema and presumed juvenile xanthogranuloma.
作者信息
Manjandavida Fairooz P, Arepalli Sruthi, Tarlan Bercin, Shields Carol L
机构信息
Ocular Oncology Service, Wills Eye Hospital, Thomas Jefferson University, Philadelphia, Pennsylvania.
Ocular Oncology Service, Wills Eye Hospital, Thomas Jefferson University, Philadelphia, Pennsylvania.
出版信息
J AAPOS. 2014 Feb;18(1):93-5. doi: 10.1016/j.jaapos.2013.10.022.
We report a case of spontaneous hyphema in a 6-month-old girl with no history of trauma and no visible iris mass. Subtle green-blue heterochromia was noted in the right eye. The iris crypts in the right eye appeared flattened by a thin, transparent layer on the iris surface. Anterior segment optical coherence tomography (AS-OCT) disclosed a thin homogenous membrane overlying the entire iris surface in the right eye. Fluorescein angiography revealed diffuse hyperfluorescence without neovascularization. These features were suggestive of diffuse iris juvenile xanthogranuloma. Sub-Tenon's triamcinolone acetate plus topical corticosteroids eyedrops resolved the condition within 1 month.
我们报告一例6个月大女童自发性前房积血，该女童无外伤史且未发现虹膜肿物。右眼可见轻微的绿蓝色异色症。右眼虹膜隐窝似乎被虹膜表面一层薄的透明层压平。眼前节光学相干断层扫描（AS-OCT）显示右眼整个虹膜表面覆盖有一层薄的均匀膜状物。荧光素血管造影显示弥漫性高荧光，无新生血管形成。这些特征提示为弥漫性虹膜幼年性黄色肉芽肿。Tenon囊下注射醋酸曲安奈德联合局部使用糖皮质激素滴眼液在1个月内使病情得到缓解。
Zotero 插件