Vitreo-Retinal Services, Aravind Eye Hospital, Puducherry, India.
Uvea Services, Aravind Eye Hospital, Puducherry, India.
Indian J Ophthalmol. 2018 Jul;66(7):1031-1033. doi: 10.4103/ijo.IJO_1276_17.
A 54-year-old male sustained ocular trauma with a projectile. Examination of the right eye revealed an intraocular foreign body (IOFB) adjacent to the optic nerve head, vitritis, vitreous hemorrhage, and translucent perivascular sheathing of the retinal vessels in all quadrants suggesting frosted branch angiitis (FBA). The patient underwent vitrectomy with removal of the IOFB and silicone oil tamponade under steroid cover. With continued use of systemic and topical steroids after surgery, complete resolution of FBA and improvement in vision were noted in a week. Prompt resolution of FBA after IOFB removal points toward a strong association between the presence of IOFB and FBA.
一位 54 岁男性因眼部受到弹片外伤。右眼检查发现视神经头部附近有眼内异物(IOFB),伴有睫状体炎、玻璃体出血和所有象限的视网膜血管透明血管鞘,提示霜样树枝状血管炎(FBA)。患者接受玻璃体切除术,在类固醇覆盖下取出 IOFB 并进行硅油填充。手术后继续使用全身和局部类固醇,一周后 FBA 完全消退,视力改善。IOFB 取出后 FBA 迅速消退表明 IOFB 的存在与 FBA 之间存在强烈关联。