Kozak Maciej, Kapińska Karolina, Pawlicka Aleksandra, Wójtowicz Agnieszka, Pawlicka Ilona
Voivodship Ophthalmic Hospital "Na Wzgórzach", os. Na Wzgórzach 17B, 31-723 Kraków, Poland.
Faculty of Medicine, Jagiellonian University Medical College, Kraków, Poland.
Folia Med Cracov. 2018;58(2):67-76. doi: 10.24425/fmc.2018.124659.
Papillophlebitis is an uncommon disease in clinical practice. We would like to present a case of a 29-year-old patient with atypical orbital pain and flashings, presenting relative afferent pupillary defect and already typical of the disease entity: ophthalmoscopic picture of the fundus and big blind spot in perimetry. We present a complex and interdisciplinary diagnostic process that excludes general diseases such as hypertension, diabetes, coagulation disorders and neurological causes. We leave the only identifiable abnormality and potential source in the inflammatory process of periodontal inflammation and sinus jaw changes. We also describe the process of remitting the changes and finally a favorable end result of the primarily a very disturbing clinical picture that this disease may present.
乳头静脉炎在临床实践中是一种罕见疾病。我们在此呈现一例29岁患者，其伴有非典型眼眶疼痛和闪光感，存在相对传入性瞳孔障碍，且已具备该疾病实体的典型特征：眼底检眼镜图像及视野检查中的大盲点。我们展示了一个复杂的跨学科诊断过程，该过程排除了诸如高血压、糖尿病、凝血障碍和神经学病因等全身性疾病。我们发现唯一可识别的异常及潜在病因存在于牙周炎症和鼻窦颌骨改变的炎症过程中。我们还描述了病情变化缓解的过程，以及最终这个起初令人困扰的临床表现所呈现出的良好结局，而这种临床表现正是该疾病可能出现的情况。
