一名患有梅毒性双侧慢性全葡萄膜炎老年患者的光谱光学相干断层扫描结果
Spectral optical coherence tomography findings in an elderly patient with syphilitic bilateral chronic panuveitis.
作者信息
Schlaen Ariel, Ingolotti Mariana, Couto Cristobal, Saravia Mario
机构信息
Department of Ophthalmology, Hospital Universitario Austral, Argentina.
Department of Ophthalmology, University of Buenos Aires, Argentina.
出版信息
Am J Ophthalmol Case Rep. 2018 Jan 8;9:56-61. doi: 10.1016/j.ajoc.2018.01.012. eCollection 2018 Mar.
PURPOSE
To report the spectral domain optical coherence tomography (SD-OCT) features of a focal retinitis in an elderly male patient with bilateral syphilitic panuveitis.
OBSERVATIONS
In the left eye (LE), spectral domain SD-OCT images during the active period revealed hyperreflectivity extending through the full thickness of the retina with no individualization of the layers, except for the retinal pigment epithelium. Once the lesion healed, SD-OCT imaging revealed an inner retinal atrophy and a mild disruption of the retinal pigment epithelium.
CONCLUSIONS AND IMPORTANCE
In our patient, treponemal infection seemed to produce full-thickness retinal damage with partial involvement of the retinal pigment epithelium. The severe retinal damage, in this case, led to a poorer visual outcome than in other forms of syphilitic retinal involvement.
目的
报告一名患有双侧梅毒性全葡萄膜炎的老年男性患者局灶性视网膜炎的光谱域光学相干断层扫描（SD-OCT）特征。
观察结果
在左眼（LE），活动期的光谱域SD-OCT图像显示高反射率延伸穿过视网膜全层，除视网膜色素上皮外各层无法区分。病变愈合后，SD-OCT成像显示视网膜内层萎缩以及视网膜色素上皮轻度破坏。
结论与意义
在我们的患者中，梅毒螺旋体感染似乎导致视网膜全层损伤，视网膜色素上皮部分受累。在这种情况下，严重的视网膜损伤导致的视觉预后比其他形式的梅毒性视网膜受累更差。
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