与局限性脉络膜凹陷相关的炎症性脉络膜新生血管的临床病程
CLINICAL COURSE OF INFLAMMATORY CHOROIDAL NEOVASCULARIZATION ASSOCIATED WITH FOCAL CHOROIDAL EXCAVATION.
作者信息
Corbelli Eleonora, Sacconi Riccardo, Querques Lea, Carnevali Adriano, Giuffrè Chiara, Rabiolo Alessandro, Bandello Francesco, Querques Giuseppe
机构信息
Department of Ophthalmology, University Vita-Salute, IRCCS Ospedale San Raffaele, Milan, Italy.
Department of Ophthalmology, University of Verona, University Hospital of Verona, Verona, Italy.
出版信息
Retin Cases Brief Rep. 2018;12 Suppl 1:S105-S109. doi: 10.1097/ICB.0000000000000649.
PURPOSE
To report the clinical course of focal choroidal excavation associated with choroidal neovascularization in a case of choroidal inflammation.
METHODS
Case report.
RESULTS
A 41-year-old man presented with blurred vision and metamorphopsia in his left eye. Multimodal imaging including optical coherence tomography angiography showed nonconforming focal choroidal excavation in the setting of choroidal inflammation and the presence of choroidal neovascularization at the border of the excavation, nicely visualized by optical coherence tomography angiography. Pattern alteration from nonconforming to conforming focal choroidal excavation and choroidal neovascularization involution were observed after treatment with oral steroids.
CONCLUSION
Multimodal imaging, including optical coherence tomography angiography, allowed to detect and monitor pattern focal choroidal excavation transformation and choroidal neovascularization reduction after treatment with oral steroids.
目的
报告1例脉络膜炎症伴脉络膜新生血管的局灶性脉络膜凹陷的临床病程。
方法
病例报告。
结果
一名41岁男性左眼出现视力模糊和视物变形。包括光学相干断层扫描血管造影在内的多模态成像显示，在脉络膜炎症背景下存在不符合典型特征的局灶性脉络膜凹陷，且在凹陷边缘存在脉络膜新生血管，光学相干断层扫描血管造影能很好地显示这些情况。口服类固醇治疗后，观察到不符合典型特征的局灶性脉络膜凹陷转变为符合典型特征的凹陷，以及脉络膜新生血管消退。
结论
包括光学相干断层扫描血管造影在内的多模态成像能够检测并监测口服类固醇治疗后局灶性脉络膜凹陷形态的转变以及脉络膜新生血管的减少情况。
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