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单侧伊尔斯病:一例报告。

Unilateral Eales' disease a case report.

作者信息

Nicolcescu Andreea, Mocanu Carmen, Dinu Loredana, Olaru Andrei, Ionete Mara, Stefanescu Dima Alin

机构信息

Department of Ophthalmology, Clinical Emergency Hospital, Craiova, Romania.

Department of Ophthalmology, University of Medicine and Pharmacy of Craiova, Craiova, Romania.

出版信息

Rom J Ophthalmol. 2017 Apr-Jun;61(2):144-149. doi: 10.22336/rjo.2017.27.

Abstract

Eales disease is an idiopathic peripheral vascular occlusive disease characterized by inflammation, ischemia, and retinal neovascularization and is hallmarked by recurrent vitreous hemorrhages and vision loss. We present a case of a 48-year-old female with recurrent floaters and decreased vision in her right eye. The onset of symptoms was in 2007 when a diagnose of retinal vasculitis was made. She had no accompanying systemic signs and symptoms and no history of ocular trauma or previous tuberculosis infection. The eye condition was managed only with intermittent focal laser treatment, because the general treatment with steroids was not efficient and poorly tolerated. After the laser treatment, the visual acuity completely recovered and there was no recurrence of vitreous hemorrhage. The case particularity was the unilaterality after 9 years from the onset.

摘要

伊尔斯病是一种特发性外周血管闭塞性疾病,其特征为炎症、缺血和视网膜新生性视网膜新生血管形成,以反复玻璃体出血和视力丧失为特点。我们报告一例48岁女性患者,其右眼反复出现飞蚊症且视力下降。症状于2007年开始出现,当时被诊断为视网膜血管炎。她没有伴随的全身症状,也没有眼部外伤史或既往结核感染史。由于使用类固醇进行全身治疗无效且耐受性差,眼部疾病仅采用间歇性局部激光治疗。激光治疗后,视力完全恢复,且未再发生玻璃体出血。该病例的特殊性在于发病9年后仍为单侧性。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/eabf/5710024/86d8ddadfcfe/RomJOphthalmol-61-144-g001.jpg

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