视网膜裂孔：眼部弓形虫病的一种罕见并发症。
Retinal tear: an unusual complication of ocular toxoplasmosis.
作者信息
Celebi Ali Riza Cenk, Kilavuzoglu Ayse Ebru, Altiparmak Ugur Emrah, Cosar Cemile Banu, Ozkiris Abdullah
机构信息
Acibadem University School of Medicine Department of Ophthalmology Turgut Ozal Boulevard, No:16 Pbx: 34303 Kucukcekmece, Istanbul, Turkey.
Acibadem University School of Medicine Department of Ophthalmology Istanbul/ Turkey.
出版信息
Open Med (Wars). 2015 Dec 21;10(1):555-559. doi: 10.1515/med-2015-0094. eCollection 2015.
PURPOSE
It is aimed to report on a 16-year-old patient with acquired ocular toxoplasmosis complicated by a retinal tear.
METHODS
Retrospective medical chart review.
RESULTS
A 16-year-old Caucasian female presented with vision loss in her right eye. In addition to a white active lesion between the fovea and the optic nerve head, marked vitreous opacification was noted. She was diagnosed with ocular toxoplasmosis. The patient was treated with oral azithromycin, clindamycin, and trimethoprimsulfamethoxazole. One month later, retinochoroiditis resolved and vitreous cleared. Three months after onset, patient presented with floaters in the right eye and a retinal tear was located at the temporal region of the retina. Prophylactic argon laser treatment that encircled the retinal tear was performed. No other abnormalities were noted during 6 months of follow-up.
CONCLUSIONS
Retinal tear associated with ocular toxoplasmosis is rare; however, a retinal tear can occur due to vitreoretinal traction following post-inflammatory structural alteration of the vitreous. Retinal tears may be seen during the healing phase, when the inflammation turns into tightening of vitreous substance. Careful retinal examination in cases of ocular toxoplasmosis is warranted, especially in patients with severe vitreous inflammation.
目的
报告一名16岁患有获得性眼弓形虫病并伴有视网膜裂孔的患者。
方法
回顾性病历审查。
结果
一名16岁的白种女性右眼视力下降。除了在中央凹和视神经乳头之间有一个白色活动性病灶外，还注意到明显的玻璃体混浊。她被诊断为眼弓形虫病。患者接受口服阿奇霉素、克林霉素和复方新诺明治疗。1个月后，视网膜脉络膜炎消退，玻璃体混浊清除。发病3个月后，患者右眼出现飞蚊症，视网膜裂孔位于视网膜颞侧区域。对视网膜裂孔进行了预防性氩激光光凝治疗。随访6个月期间未发现其他异常。
结论
与眼弓形虫病相关的视网膜裂孔很少见；然而，玻璃体炎症后结构改变导致的玻璃体视网膜牵拉可引起视网膜裂孔。视网膜裂孔可能在愈合期出现，此时炎症转变为玻璃体物质的收缩。对于眼弓形虫病患者，尤其是玻璃体炎症严重的患者，有必要进行仔细的视网膜检查。
Zotero 插件