穿透性角膜移植术后交感性眼炎：一例通过频域光学相干断层扫描评估的病例报告
Sympathetic ophthalmia after penetrating keratoplasty: a case report evaluated by spectral-domain optical coherence tomography.
作者信息
Magalhães Fernanda P, Lavinsky Daniel, Rossi Lucas V, Barbosa Luciene, Moraes Nilva
机构信息
From the *Department of Ophthalmology, Federal University of São Paulo, São Paulo, Brazil; and †Department of Ophthalmology, Sorocaba Eye Hospital, São Paulo, Brazil.
出版信息
Retin Cases Brief Rep. 2012 Winter;6(1):11-5. doi: 10.1097/ICB.0b013e3181f7f633.
BACKGROUND
Sympathetic ophthalmia is a rare, bilateral, diffuse granulomatous uveitis that usually occurs after open globe injury or intraocular surgery. To our knowledge, findings of this condition using spectral-domain optical coherence tomography have not been previously described.
METHODS
Case report.
RESULTS
A case of sympathetic uveitis after a tectonic corneal-scleral keratoplasty because of a fungal keratitis is reported. Spectral-domain optical coherence tomographic images revealed a multilobular serous retinal detachment in the sympathizing eye. The subretinal space was divided by thin septa into compartments filled with subretinal fluid and some high reflective compounds.
CONCLUSION
Spectral-domain optical coherence tomographic imaging noninvasively demonstrated a multilobular serous retinal detachment in the sympathizing eye, sharing the same features previously reported in patients with Vogt-Koyanagi-Harada syndrome.
背景
交感性眼炎是一种罕见的双侧弥漫性肉芽肿性葡萄膜炎，通常发生于眼球穿通伤或眼内手术后。据我们所知，此前尚未有关于利用光谱域光学相干断层扫描对此病进行研究的报道。
方法
病例报告。
结果
报告了1例因真菌性角膜炎行角膜巩膜移植术后发生交感性眼炎的病例。光谱域光学相干断层扫描图像显示，交感眼存在多叶性浆液性视网膜脱离。视网膜下间隙被薄的隔膜分隔成充满视网膜下液和一些高反射性化合物的腔隙。
结论
光谱域光学相干断层扫描成像无创性地显示了交感眼存在多叶性浆液性视网膜脱离，与此前报道的小柳原田综合征患者具有相同特征。
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