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一名肾病综合征患者的双侧浆液性黄斑脱离。

BILATERAL SEROUS MACULAR DETACHMENT IN A PATIENT WITH NEPHROTIC SYNDROME.

作者信息

Bilge Ayse D, Yaylali Sevil A, Yavuz Sara, Simsek İlke B

机构信息

Department of Ophthalmology, Emsey Hospital, Istanbul, Turkey.

Department of Ophthalmology, Istanbul Medeniyet University, Istanbul, Turkey.

出版信息

Retin Cases Brief Rep. 2018;12(3):260-262. doi: 10.1097/ICB.0000000000000487.

Abstract

PURPOSE

The purpose of this study was to report a case of a woman with nephrotic syndrome who presented with blurred vision because of bilateral serous macular detachment.

METHODS

Case report and literature review.

RESULTS

A 55-year-old woman with a history of essential hypertension, diabetes, and nephrotic syndrome was presented with blurred vision in both eyes. Her fluorescein angiography revealed dye leakage in the early and subretinal pooling in the late phases, and optical coherence tomography scans confirmed the presence of subretinal fluid in the subfovel area.

CONCLUSION

In nephrotic syndrome cases especially with accompaniment of high blood pressure, fluid accumulation in the retina layer may occur. Serous macular detachment must be kept in mind when treating these patients.

摘要

目的

本研究旨在报告一例肾病综合征女性患者,该患者因双侧浆液性黄斑脱离出现视力模糊。

方法

病例报告及文献综述。

结果

一名有原发性高血压、糖尿病和肾病综合征病史的55岁女性出现双眼视力模糊。她的荧光素血管造影显示早期染料渗漏和晚期视网膜下积液,光学相干断层扫描证实黄斑下区域存在视网膜下液。

结论

在肾病综合征病例中,尤其是伴有高血压时,视网膜层可能会出现液体蓄积。在治疗这些患者时必须考虑浆液性黄斑脱离。

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