单侧急性中心性浆液性视网膜脱离严重病例中的浅前房
Shallow Anterior Chamber in a Severe Case of Unilateral Acute Central Serous Retinal Detachment.
作者信息
Colakoglu Ahmet, Cosar Banu
机构信息
Acibadem University School of Medicine, Istanbul, Turkey.
出版信息
Case Rep Ophthalmol. 2017 May 30;8(2):326-333. doi: 10.1159/000477158. eCollection 2017 May-Aug.
BACKGROUND
Atypical serous chorioretinopathy can present with symptoms similar to those of other pachychoroid diseases; however, a proper differential diagnosis will prevent unnecessary intensive treatments. To this end, we report on the shallowness of anterior chamber and transitory anterior vitreous cells in a patient with atypical severe serous retinal detachment.
CASE PRESENTATION
A 42-year-old woman presented with unilateral visual loss accompanied by mild, vague eye pain for 4 days. Spectral-domain OCT scans of the left eye showed macular and peripapillary serous detachment. Optical biometry showed the clinically significant shallow anterior chamber.
CONCLUSIONS
Severe central serous chorioretinopathy can show up in an atypical fashion with macular, extramacular, juxtapapillary serous detachments, temporary existence of anterior vitreous cells, clinically detectable decreased anterior chamber depth, and mild eye pain of short duration.
背景
非典型性浆液性脉络膜视网膜病变的症状可能与其他厚脉络膜疾病相似；然而，正确的鉴别诊断可避免不必要的强化治疗。为此，我们报告了一例非典型性严重浆液性视网膜脱离患者的前房变浅和短暂性前玻璃体细胞情况。
病例介绍
一名42岁女性，出现单眼视力丧失并伴有轻度、模糊的眼痛4天。左眼的光谱域光学相干断层扫描显示黄斑和视乳头周围浆液性脱离。光学生物测量显示临床上有意义的前房变浅。
结论
严重的中心性浆液性脉络膜视网膜病变可能以非典型形式出现，表现为黄斑、黄斑外、视乳头旁浆液性脱离、前玻璃体细胞短暂存在、临床上可检测到的前房深度降低以及持续时间较短的轻度眼痛。
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