免疫功能正常的成年男性巨细胞病毒性前葡萄膜炎的紧张性瞳孔——病例报告。
Tonic Pupil in Cytomegalovirus Anterior Uveitis in an Immunocompetent Adult Male - A Case Report.
机构信息
a Department of Uveitis and Ocular Inflammation , Vittala International Institute of Ophthalmology & Prabha Eye Clinic and Research Center , Bangalore, India.
出版信息
Ocul Immunol Inflamm. 2018;26(1):104-106. doi: 10.1080/09273948.2017.1376688. Epub 2017 Oct 13.
PURPOSE
To report an interesting case of development of tonic pupil in an immunocompetent male with cytomegalovirus (CMV) anterior uveitis.
METHODS
Retrospective case report Results: A 30-year-old Iranian healthy male was diagnosed to have Posner-Schlossman syndrome (OS). Aqueous tap was positive for CMV by multiplex Polymerase chain reaction (PCR). Adequate control of inflammation and Intraocular pressures (IOP) were achieved with topical steroids, ganciclovir gel, and antiglaucoma medications. On a follow-up visit, he complained of recent onset of blurring of vision (OS) despite appropriate refractive correction, quiet anterior chamber, and normal IOP. Pupillary examination showed anisocoria (larger pupil in OS). Pupillary constriction (OS) on instillation of 0.125% pilocarpine drops confirmed the diagnosis of a tonic pupil.
CONCLUSION
We describe a unique finding of tonic pupil on a follow-up examination in an immunocompetent adult male with CMV anterior uveitis. A prior association has not been described in literature (Medline Search).
目的
报告一例免疫功能正常的男性巨细胞病毒（CMV）前葡萄膜炎患者发生强直性瞳孔的有趣病例。
方法
回顾性病例报告
结果
一名 30 岁的伊朗健康男性被诊断为 Posner-Schlossman 综合征（OS）。多重聚合酶链反应（PCR）检测房水呈 CMV 阳性。局部类固醇、更昔洛韦凝胶和抗青光眼药物可充分控制炎症和眼内压（IOP）。在随访时，他抱怨尽管进行了适当的屈光矫正，眼前房仍安静，IOP 正常，但视力（OS）最近出现模糊。瞳孔检查显示瞳孔不等大（OS 瞳孔较大）。在 OS 中滴入 0.125%毛果芸香碱后，瞳孔收缩证实了强直性瞳孔的诊断。
结论
我们描述了一例免疫功能正常的成人男性 CMV 前葡萄膜炎患者在随访检查中出现强直性瞳孔的独特发现。文献（Medline 检索）中未描述先前的关联。
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