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特发性眼眶炎症导致快速且完全失明,眼眶减压后部分恢复。

Rapid and complete vision loss due to idiopathic orbital inflammation with partial recovery following orbital decompression.

作者信息

Vrcek Ivan, Wotipka Evan, Somogyi Marie, Nakra Tanuj

机构信息

Texas Ophthalmic Plastic and Reconstructive Surgery Associates, Dallas, Texas.

University of Texas at Austin, Austin, Texas.

出版信息

Proc (Bayl Univ Med Cent). 2018 May 14;31(3):372-374. doi: 10.1080/08998280.2018.1463043. eCollection 2018 Jul.

DOI:10.1080/08998280.2018.1463043
PMID:29904317
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC5997092/
Abstract

We present a case of a 36-year-old man who developed rapid onset of proptosis and orbital compartment syndrome resulting in no light perception vision. He was treated with surgery and subsequent rituximab therapy with some recovery of vision and motility. Though the range of presentations of idiopathic orbital inflammation is broad, such rapid evolution of proptosis with complete vision loss is very uncommon.

摘要

我们报告一例36岁男性病例,该患者迅速出现眼球突出和眼眶间隔综合征,导致无光感视力。他接受了手术及随后的利妥昔单抗治疗,视力和眼球运动有一定恢复。尽管特发性眼眶炎症的表现范围很广,但如此迅速发展的眼球突出并伴有完全失明的情况非常罕见。

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Proc (Bayl Univ Med Cent). 2018 May 14;31(3):372-374. doi: 10.1080/08998280.2018.1463043. eCollection 2018 Jul.
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引用本文的文献

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J Ophthalmic Inflamm Infect. 2021 Aug 27;11(1):24. doi: 10.1186/s12348-021-00253-3.

本文引用的文献

1
Consensus on Diagnostic Criteria of Idiopathic Orbital Inflammation Using a Modified Delphi Approach.采用改良德尔菲法对特发性眼眶炎症诊断标准的共识
JAMA Ophthalmol. 2017 Jul 1;135(7):769-776. doi: 10.1001/jamaophthalmol.2017.1581.
2
Orbital inflammation: Biopsy first.眼眶炎症:先进行活检。
Surv Ophthalmol. 2016 Sep-Oct;61(5):664-9. doi: 10.1016/j.survophthal.2016.03.002. Epub 2016 Mar 17.
3
Idiopathic inflammatory orbital myositis presenting with vision loss.以视力丧失为表现的特发性炎性眼眶肌炎。
Orbit. 2014 Dec;33(6):449-52. doi: 10.3109/01676830.2014.949788. Epub 2014 Sep 10.
4
Idiopathic orbital inflammation associated with panuveitis in an adult and a review of the literature.一名成人特发性眼眶炎症伴全葡萄膜炎及文献综述
Eye Sci. 2013 Mar;28(1):40-3.
5
Inflammatory pseudotumor: the great mimicker.炎性假瘤:大模仿者。
AJR Am J Roentgenol. 2012 Mar;198(3):W217-27. doi: 10.2214/AJR.11.7288.
6
Idiopathic sclerosing orbital inflammation: a review of demographics, clinical presentation, imaging, pathology, treatment, and outcome.特发性硬化性眼眶炎症:一项关于人口统计学、临床表现、影像学、病理学、治疗和结局的综述。
Ophthalmic Plast Reconstr Surg. 2012 Jan-Feb;28(1):79-83. doi: 10.1097/IOP.0b013e318238ecf7.
7
Idiopathic orbital inflammation leading to unilateral blindness over a 2-day presentation in a child.特发性眼眶炎症导致儿童 2 天内单侧失明。
Ophthalmic Plast Reconstr Surg. 2011 Mar-Apr;27(2):e46-7. doi: 10.1097/IOP.0b013e3181e99cdf.
8
Orbital pseudotumor: distinct diagnostic features and management.眼眶假瘤:独特的诊断特征与治疗
Middle East Afr J Ophthalmol. 2008 Jan;15(1):17-27. doi: 10.4103/0974-9233.53370.
9
Idiopathic orbital inflammatory syndrome without pain: a case report.无痛性特发性眼眶炎性综合征:一例报告
Optometry. 2010 Mar;81(3):146-52. doi: 10.1016/j.optm.2009.03.021.
10
Idiopathic orbital inflammation: a pathogenetic construct and treatment strategy: The 2005 ASOPRS Foundation Lecture.特发性眼眶炎症:一种发病机制构想及治疗策略:2005年美国眼科整形与重建外科学会基金会讲座
Ophthalmic Plast Reconstr Surg. 2006 Mar-Apr;22(2):79-86. doi: 10.1097/01.iop.0000203734.52333.93.