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感染后单侧性外层视网膜和脉络膜炎的多模态成像。

Multimodal Imaging of Post-Infectious Unilateral Outer Retinopathy and Choroiditis.

机构信息

Laboratory of Immunology, National Eye Institute, National Institutes of Health , Bethesda , Maryland , USA.

出版信息

Ocul Immunol Inflamm. 2019;27(6):927-931. doi: 10.1080/09273948.2018.1485954. Epub 2018 Jun 28.

Abstract

: To describe with multimodal imaging a case of post-infectious unilateral outer retinopathy with choroiditis. : Retrospective chart review of a case of a 67-year old male who presented following the onset of viral symptoms with an acute onset outer retinopathy, small vessel leakage on fluorescein angiography, and choroidal involvement evident on indocyanine green angiography and near infrared fundus autofluorescence (NIR-AF). Work up for infectious and autoimmune etiologies was negative. : Treatment with IV methylprednisolone followed by high dose oral prednisone resulted in improvement in visual acuity, outer retinal reconstitution and resolution of the choroidal changes. s: Despite this presentation sharing features with both acute zonal occult outer retinopathy (AZOOR) and multifocal choroiditis (MFC), the case is highly atypical of both entities.

摘要

描述一例感染后单侧外层视网膜脉络膜炎的多模态成像。

回顾性分析一例 67 岁男性病例,该患者在出现病毒症状后出现急性外层视网膜病变,荧光素血管造影显示小血管渗漏,吲哚青绿血管造影和近红外眼底自发荧光(NIR-AF)显示脉络膜受累。感染和自身免疫病因检查均为阴性。

给予 IV 甲基强的松龙治疗后改为大剂量口服泼尼松治疗,视力、外层视网膜重建和脉络膜病变均有改善。

尽管该表现与急性区域性隐匿性外层视网膜病变(AZOOR)和多灶性脉络膜炎(MFC)均有共同特征,但该病例与这两种疾病均不典型。

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