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伴有视网膜色素上皮撕裂的后巩膜炎:一种不寻常的表现。

Posterior scleritis with retinal pigment epithelium rip: an unusual presentation.

作者信息

Fiebai Bassey, Padhi Tapas Ranjan, Panda Krushna Gopal, Modi Rohit Ramesh

机构信息

Vitreoretinal Unit, Department of Ophthalmology, University of Port Harcourt Teaching Hospital, Port Harcourt, Nigeria.

Vitreoretinal Services, LV Prasad Eye Institute, Patia, Bhubaneswar, 751024, Odisha, India.

出版信息

Int Ophthalmol. 2015 Feb;35(1):141-4. doi: 10.1007/s10792-014-0031-9. Epub 2014 Dec 19.

DOI:10.1007/s10792-014-0031-9
PMID:25523863
Abstract

Posterior scleritis is a great mimicker and can cause irreversible visual loss because of late or misdiagnosis. We report a case of retinal pigment epithelial rip in the event of nodular posterior scleritis that is hardly reported in the literature. The authors hypothesize the rip to be a result of inflammation, exudation and continuing pressure by the fluid or granuloma on the pigment epithelium.

摘要

后巩膜炎极易误诊,且因其诊断延迟或错误可导致不可逆的视力丧失。我们报告了一例结节性后巩膜炎并发视网膜色素上皮撕裂的病例,该病例在文献中鲜有报道。作者推测这种撕裂是炎症、渗出以及液体或肉芽肿对色素上皮持续施压的结果。

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Posterior scleritis with retinal pigment epithelium rip: an unusual presentation.伴有视网膜色素上皮撕裂的后巩膜炎:一种不寻常的表现。
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Posterior Scleritis as a Paraneoplastic Syndrome in Colon Cancer: A Case Report.后巩膜炎作为结肠癌副瘤综合征:一例报告。
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本文引用的文献

1
Clinical features and presentation of posterior scleritis: a report of 31 cases.后巩膜炎的临床特征与表现:31例报告
Ocul Immunol Inflamm. 2014 Jun;22(3):203-7. doi: 10.3109/09273948.2013.840385. Epub 2013 Oct 16.
2
Retinal pigment epithelial tear in polypoidal choroidal vasculopathy.息肉状脉络膜血管病变中的视网膜色素上皮撕裂
Retina. 2007 Sep;27(7):832-8. doi: 10.1097/IAE.0b013e318150d864.
3
Tears of the retinal pigment epithelium: an old problem in a new era.视网膜色素上皮撕裂:新时代的一个老问题。
Retina. 2007 Jun;27(5):523-34. doi: 10.1097/IAE.0b013e3180a032db.
4
Spontaneous rip of the retinal pigment epithelium with a macular hole in neovascular age-related macular degeneration.新生血管性年龄相关性黄斑变性中伴有黄斑裂孔的视网膜色素上皮自发撕裂
Am J Ophthalmol. 2005 Aug;140(2):316-8. doi: 10.1016/j.ajo.2005.01.028.
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Posterior scleritis: clinical features, systemic associations, and outcome in a large series of patients.后巩膜炎:大量患者的临床特征、全身关联及预后
Ophthalmology. 1999 Dec;106(12):2380-6. doi: 10.1016/S0161-6420(99)90543-2.
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Posterior scleritis: clinical profile and imaging characteristics.后巩膜炎:临床特征与影像学表现
Indian J Ophthalmol. 1998 Dec;46(4):195-202.
7
Retinal pigment epithelial detachments in posterior scleritis.后巩膜炎中的视网膜色素上皮脱离
Am J Ophthalmol. 1980 Nov;90(5):604-6. doi: 10.1016/s0002-9394(14)75126-8.
8
Pathogenesis of tears of the retinal pigment epithelium.视网膜色素上皮撕裂的发病机制。
Br J Ophthalmol. 1984 Aug;68(8):513-9. doi: 10.1136/bjo.68.8.513.