白塞病中的双侧视网膜中央动脉阻塞
Bilateral Central Retinal Artery Occlusion in Behçet Disease.
作者信息
Esen Ebru, Sizmaz Selcuk, Sariyeva Ayna, Demircan Nihal
机构信息
a Department of Ophthalmology , Çukurova University, School of Medicine , Adana , Turkey.
出版信息
Ocul Immunol Inflamm. 2015;23(5):416-9. doi: 10.3109/09273948.2014.896468. Epub 2015 Aug 28.
PURPOSE
To report a case of bilateral central retinal artery occlusion as the primary ocular manifestation of Behçet disease.
METHODS
A 38-year-old patient, with no history of previous ocular complaints, admitted with bilateral sudden vision loss. His ophthalmologic examination revealed a visual acuity of no light perception in both eyes and the diagnosis of bilateral central retinal artery occlusion. A detailed systemic investigation was conducted.
RESULTS
With the history of recurrent oral and genital ulcers, and the presence of ocular and skin findings, the diagnosis of Behçet disease was made. Despite a potent immunosuppressive therapy the patient became absolutely blind.
CONCLUSIONS
Even though retinal arteries are rarely affected in Behçet disease, in the cases of retinal artery occlusion, it should be considered among the differential diagnosis. To our knowledge this is the first reported case of bilateral central retinal artery occlusion as the primary ocular manifestation of Behçet disease.
目的
报告一例以双侧视网膜中央动脉阻塞为主要眼部表现的白塞病病例。
方法
一名38岁患者，既往无眼部疾病史，因双眼突发视力丧失入院。眼科检查显示双眼无光感，诊断为双侧视网膜中央动脉阻塞。进行了详细的全身检查。
结果
鉴于患者有复发性口腔溃疡和生殖器溃疡病史，以及眼部和皮肤表现，诊断为白塞病。尽管采用了强效免疫抑制治疗，患者仍完全失明。
结论
尽管视网膜动脉在白塞病中很少受累，但在视网膜动脉阻塞的病例中，应将其列入鉴别诊断。据我们所知，这是首例报告的以双侧视网膜中央动脉阻塞为主要眼部表现的白塞病病例。
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